| Drs Simon & Medlock Prtnr | |
|
832 Princeton Ave Sw, Birmingham, AL 35211-1320 | |
| (205) 780-7053 | |
| (205) 206-8368 |
| Full Name | Drs Simon & Medlock Prtnr |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 832 Princeton Ave Sw, 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 |
|---|---|---|---|
| 1811089808 | NPI | - | NPPES |
| E659 | Other | AL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S587TA195; S592TA197 (Alabama) | Primary |
| Provider Name | Gerald Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386654739 PECOS PAC ID: 8921291683 Enrollment ID: I20101026000903 |
| Provider Name | Ronald Medlock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730271701 PECOS PAC ID: 1658555347 Enrollment ID: I20110405000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Simon & Medlock Prtnr Po Box 360064, Hoover, AL 35236-0064 Ph: (205) 560-0477 | Drs Simon & Medlock Prtnr 832 Princeton Ave Sw, Birmingham, AL 35211-1320 Ph: (205) 780-7053 |
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: Medicare Enrolled Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755 | |
Kristy Y-van Nguyen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755 |