| Vision Source Michael D. Blackburn, O.d. | |
|
4960 Valleydale Rd, Suite 201, Birmingham, AL 35242-4613 | |
| (205) 980-5152 | |
| (205) 980-5154 |
| Full Name | Vision Source Michael D. Blackburn, O.d. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4960 Valleydale Rd, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255316006 | NPI | - | NPPES |
| 51500011 | Other | AL | BLUE CROSS BLUE SHIELD |
| P00105638 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S672TA330 (Alabama) | Primary |
| Provider Name | Michael D Blackburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538144399 PECOS PAC ID: 4880778331 Enrollment ID: I20080222000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Michael D. Blackburn, O.d. 4960 Valleydale Rd, Suite 201, Birmingham, AL 35242-4613 Ph: (205) 980-5152 | Vision Source Michael D. Blackburn, O.d. 4960 Valleydale Rd, Suite 201, Birmingham, AL 35242-4613 Ph: (205) 980-5152 |
Elise Debruler Agostinelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1720 University Blvd, Birmingham, AL 35233 Phone: 205-488-0736 | |
Dr. Elizabeth Steele, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 University Blvd, Hpb G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755 | |
Dr. Albert C. Snyder, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1716 University Blvd, Hbp Building, Birmingham, AL 35294 Phone: 205-975-9827 Fax: 205-975-8281 | |
Paul Dennis Batson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 State Farm Pkwy, Birmingham, AL 35209 Phone: 205-943-4600 Fax: 205-943-4660 | |
Jsd Eyecare, L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9248 Parkway E, Birmingham, AL 35206 Phone: 205-833-3171 Fax: 205-833-3059 | |
Margaret Kathleen Bailey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755 | |
Kristy Y-van Nguyen, Optometrist Medicare: Medicare Enrolled Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755 |