| Alabama Vision Center, Llc | |
|
790 Montclair Rd, Suite 100, Birmingham, AL 35213-1966 | |
| (205) 592-3911 | |
| (205) 592-3537 |
| Full Name | Alabama Vision Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 790 Montclair 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 |
|---|---|---|---|
| 1992807259 | NPI | - | NPPES |
| 529932906 | Medicaid | AL | |
| N044 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Andrew J Velazquez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013930825 PECOS PAC ID: 7911913215 Enrollment ID: I20060223000440 |
| Provider Name | David S Lewis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003801473 PECOS PAC ID: 9638070972 Enrollment ID: I20070223000636 |
| Provider Name | Kristin S Sullins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265628796 PECOS PAC ID: 3072695113 Enrollment ID: I20080129000451 |
| Provider Name | Holly T Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326359886 PECOS PAC ID: 6507059136 Enrollment ID: I20101015000062 |
| Provider Name | Price Mentzel Kloess |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427022789 PECOS PAC ID: 4486665379 Enrollment ID: I20111107000758 |
| Provider Name | Andrew H Bartlett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417248691 PECOS PAC ID: 1153642020 Enrollment ID: I20160728000962 |
| Provider Name | Kelsey Mccluskey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306420674 PECOS PAC ID: 7517357379 Enrollment ID: I20211209001904 |
| Provider Name | Johnathan Blake Lawson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376282806 PECOS PAC ID: 2466830070 Enrollment ID: I20220609000845 |
| Provider Name | Jessica Arnold Duddleston |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295226140 PECOS PAC ID: 8325395841 Enrollment ID: I20220725003282 |
| Provider Name | Caroline Watson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144756875 PECOS PAC ID: 5991114555 Enrollment ID: I20220811002899 |
| Provider Name | Max Mahboub Musharoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992268296 PECOS PAC ID: 0648601989 Enrollment ID: I20230901001707 |
| Provider Name | Rachel Kane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760104749 PECOS PAC ID: 8820443138 Enrollment ID: I20231005003462 |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Vision Center, Llc 790 Montclair Rd, Suite 100, Birmingham, AL 35213-1966 Ph: (205) 592-3911 | Alabama Vision Center, Llc 790 Montclair Rd, Suite 100, Birmingham, AL 35213-1966 Ph: (205) 592-3911 |