| Dr Donald Joseph Derivaux, MD | |
|
401 Meridian St N, Ste 200, Huntsville, AL 35801-4720 | |
| (256) 705-3937 | |
| (256) 533-3213 |
| Full Name | Dr Donald Joseph Derivaux |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 401 Meridian St N, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538145594 | NPI | - | NPPES |
| 000008502 | Medicaid | AL | |
| 1497765721 | Other | NPI GROUP | |
| H664 | Other | AL | MEDICARE GROUP PROVIDER |
| 000008502 | Other | MEDICARE INDIVIDUAL PROV | |
| 051008502 | Other | AL | BLUE CROSS BLUE SHIELD |
| 180037758 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 00014911 (Alabama) | Primary |
| Entity Name | Eye Center Surgeons & Assoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497765721 PECOS PAC ID: 5193764975 Enrollment ID: O20050502000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Joseph Derivaux, MD 1013 Coronado Ave Se, Huntsville, AL 35802-2650 Ph: (256) 882-1083 | Dr Donald Joseph Derivaux, MD 401 Meridian St N, Ste 200, Huntsville, AL 35801-4720 Ph: (256) 705-3937 |
Dr. Brian Christopher Mulrooney, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1150 Eagletree Ln Sw, Huntsville, AL 35801 Phone: 256-533-8801 Fax: 256-533-8803 | |
Dr. Tarek Omar Persaud, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 401 Meridian St N, 400, Huntsville, AL 35801 Phone: 256-539-8851 Fax: 256-534-7203 | |
Dr. John Pointer Eitzen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3501 Memorial Pkwy Sw Ste 200, Huntsville, AL 35801 Phone: 256-533-0315 | |
Robert Campbell Foster, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 401 Meridian St N Ste 200, Huntsville, AL 35801 Phone: 256-705-3937 Fax: 256-533-3213 | |
Dr. Patricia Massengill Mccoy, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 100 Providence Main St Nw, 2nd Floor Ste 1e, Huntsville, AL 35806 Phone: 256-382-2700 | |
Heather Ann Estopinal, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 333 Whitesport Dr Sw Ste 101, Huntsville, AL 35801 Phone: 256-880-0667 | |
Jonathan Kevin Ramsey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3501 Memorial Pkwy Sw Ste 200, Huntsville, AL 35801 Phone: 256-533-0315 |