Individual
DR. JOHN G CLASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HBP G080A, BIRMINGHAM, AL 35294-0010
(205) 934-4748
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HBP G080A, BIRMINGHAM, AL 35294-0010
(205) 934-4748
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-409-TA-178
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059866
—
AL
01
—
05054867
MISSISSIPPI MEDICAID
MS
01
—
1586048
LOUISIANA MEDICAID
LA
01
—
410021235
MEDICARE RAILROAD
AL
01
—
51059866
BLUE CROSS BLUE SHIELD
AL
01
—
T69162
VIVA HEALTH
AL
Enumeration date
07/31/2006
Last updated
06/02/2010
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