Basic Information
Provider Information
NPI: 1467807636
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALL
FirstName: TERRI
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: OD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1930 TREE TOP LN APT D
Address2:  
City: VESTAVIA
State: AL
PostalCode: 352162820
CountryCode: US
TelephoneNumber: 2567839216
FaxNumber:  
Practice Location
Address1: 1716 UNIVERSITY BLVD
Address2: HPB G080A
City: BIRMINGHAM
State: AL
PostalCode: 352940010
CountryCode: US
TelephoneNumber: 2059752020
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2016
LastUpdateDate: 06/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XSD43TAA22ALY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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