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Individual

DR. JOHN AMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1716 UNIVERSITY BLVD, G080A/HPB, BIRMINGHAM, AL 35294-0010
(205) 975-9827
(205) 975-8281
Mailing address
1716 UNIVERSITY BLVD, G080A/HPB, BIRMINGHAM, AL 35294-0001
(205) 975-9827
(205) 975-8281

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T10TA103
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51059352
BCBS OF ALABAMA
AL
01
51059861
BCBS
AL
01
T68310
VIVA
AL
Enumeration date
08/16/2006
Last updated
10/22/2007
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