Individual
MICHAEL STEPHEN BILLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5919 TRUSSVILLE CROSSINGS PARKWAY, BIRMINGHAM, AL 35235
(205) 661-1975
(205) 661-1977
Mailing address
7048 SHADY OAKS LANE, TRUSSVILLE, AL 35173
(205) 821-0913
(205) 655-1680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S919TA498
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51507228BIL
BLUE CROSS BLUE SHEILD
AL
01
—
51534076
BLUE CROSS BLUE SHEILD
AL
Enumeration date
10/02/2006
Last updated
07/08/2007
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