Organization
ALABAMA RETINA SPECIALISTS, PC
Active
Other names
VisionAmerica
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL GUPTA M.D. (PRESIDENT/OWNER)
(251) 471-3309
Entity
Organization
Contact information
Practice address
3290 DAUPHIN ST, SUITE 401, MOBILE, AL 36606-4062
(251) 471-3309
(251) 471-5046
Mailing address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366526691
—
AL
05
—
529922010
—
AL
01
—
DD0537
RR MEDICARE PGBA
AL
Enumeration date
10/24/2006
Last updated
06/11/2008
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