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Individual

DR. GERALD SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3240 EDWARDS LAKE PKWY STE 100, TRUSSVILLE, AL 35235-3128
(833) 733-8742
(205) 634-5640
Mailing address
PO BOX 59449, BIRMINGHAM, AL 35259-9449
(833) 733-8742
(205) 634-5640

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-592-TA-197
AL
152W00000X
Optometrist
Primary
S592TA197
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008600476
AL
05
009945450
AL
01
25841
BCBS
AL
01
59904
BCBS
AL
01
T69064
BCBS
AL
Enumeration date
08/08/2006
Last updated
04/15/2026
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