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Organization

BROOKWOOD OPHTHALMOLOGY IMAGING AND ANCILLARY SERVICES

Active
Other names
BROOKWOOD OPHTHALMOLOGY, INC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANIE NORFLEET WHITE (PRESIDENT)
(205) 383-9498
Entity
Organization

Contact information

Practice address
1 CHASE CORPORATE DR STE 439, HOOVER, AL 35244-1026
(205) 313-6300
(253) 465-4859
Mailing address
1 CHASE CORPORATE DR STE 439, HOOVER, AL 35244-1026
(205) 313-6300
(253) 645-4859

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936633
AL
05
051533202
AL
01
213985282
TRICARE STANDARD HUMANA
AL
01
4648847
AETNA
AL
01
51533202
BCBS AL BROOKWOOD
AL
01
51533857
BCBS MARION
AL
01
A96597
VIVA
AL
01
P00301433
MEDICARE RAILROAD
AL
Enumeration date
06/18/2007
Last updated
05/11/2023
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