| Southern Eye Group Of Alabama | |
|
411 N. Section St., Fairhope, AL 36532-2649 | |
| (251) 990-3937 | |
| (251) 990-9990 |
| Full Name | Southern Eye Group Of Alabama |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 411 N. Section St., Fairhope, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396884227 | NPI | - | NPPES |
| 528501590 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | James Wilder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386615961 PECOS PAC ID: 9931163524 Enrollment ID: I20051116000232 |
| Provider Name | Peter Zloty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467490086 PECOS PAC ID: 2163410200 Enrollment ID: I20060330000274 |
| Provider Name | Murray Glusman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295707990 PECOS PAC ID: 7911090279 Enrollment ID: I20070904000235 |
| Provider Name | Leonard Rich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295708402 PECOS PAC ID: 4082513908 Enrollment ID: I20080924000256 |
| Provider Name | Yaffa Weaver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588637649 PECOS PAC ID: 9335048255 Enrollment ID: I20100625000168 |
| Provider Name | Linda Slade |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477526606 PECOS PAC ID: 1153452354 Enrollment ID: I20100702000343 |
| Provider Name | Ayesha C Kidd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407142086 PECOS PAC ID: 8628246972 Enrollment ID: I20110713000094 |
| Provider Name | Joseph G Westrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326045931 PECOS PAC ID: 8729134796 Enrollment ID: I20150522001041 |
| Provider Name | Kelvin Paul Mcdaniel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538554258 PECOS PAC ID: 7416244124 Enrollment ID: I20190607001332 |
| Provider Name | Donna Corder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972599470 PECOS PAC ID: 8022091446 Enrollment ID: I20191004001418 |
| Provider Name | Courtney J Ray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467524215 PECOS PAC ID: 9830147263 Enrollment ID: I20191113002961 |
| Provider Name | Jeffrey St. John |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013370832 PECOS PAC ID: 5890119671 Enrollment ID: I20200727002467 |
| Provider Name | Gayla D Rowland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962482927 PECOS PAC ID: 1254302193 Enrollment ID: I20200902003174 |
| Provider Name | Hong Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982179164 PECOS PAC ID: 2365858859 Enrollment ID: I20210308002375 |
| Provider Name | Taylor Matthew Wolkart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831761360 PECOS PAC ID: 1658775556 Enrollment ID: I20210813000633 |
| Provider Name | Mary Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396090163 PECOS PAC ID: 0143478172 Enrollment ID: I20211122000800 |
| Provider Name | Raymond Rojas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144724899 PECOS PAC ID: 6608262159 Enrollment ID: I20220408001403 |
| Provider Name | Salmedina Alic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548841125 PECOS PAC ID: 0042694648 Enrollment ID: I20221002000005 |
| Provider Name | Joseph S Klabo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235794140 PECOS PAC ID: 8224362397 Enrollment ID: I20230928003145 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Eye Group Of Alabama P.o. Box 2020, Fairhope, AL 36533-2020 Ph: (251) 990-3937 | Southern Eye Group Of Alabama 411 N. Section St., Fairhope, AL 36532-2649 Ph: (251) 990-3937 |
Dr. Duane Michael Schrock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 118 Lottie Ln, Fairhope, AL 36532 Phone: 251-928-4076 Fax: 251-928-9461 | |
J Gregory Reasons Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Manor Blvd, Fairhope, AL 36532 Phone: 251-990-0957 | |
Fairhope Eye And Laser Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7540 Cipriano Ct, Suite B, Fairhope, AL 36532 Phone: 251-928-5828 | |
Dr. Stephanie Leann Montgomery, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 118 Lottie Ln, Fairhope, AL 36532 Phone: 251-928-4076 Fax: 521-928-9461 | |
Dr. James Daniel Wilder Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 411 N Section St, Fairhope, AL 36532 Phone: 251-990-3937 Fax: 251-990-9990 | |
Ms. Ayesha Kidd, O.D., F.A.A.O Optometrist Medicare: Accepting Medicare Assignments Practice Location: 411 North Section Street, Fairhope, AL 36532 Phone: 251-990-3937 Fax: 251-990-9990 |