Basic Information
Provider Information
NPI: 1578764262
EntityType: 2
ReplacementNPI:  
OrganizationName: EYE MEDICAL CENTER
LastName:  
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Mailing Information
Address1: 2000 CAHABA RD
Address2: SUITE 100
City: BIRMINGHAM
State: AL
PostalCode: 352231110
CountryCode: US
TelephoneNumber: 2058703937
FaxNumber: 2058703932
Practice Location
Address1: 2000 CAHABA RD
Address2: SUITE 100
City: BIRMINGHAM
State: AL
PostalCode: 352231110
CountryCode: US
TelephoneNumber: 2058703937
FaxNumber: 2058703932
Other Information
ProviderEnumerationDate: 05/30/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ZARZAUR
AuthorizedOfficialFirstName: JOSEPH
AuthorizedOfficialMiddleName: ANTHONY
AuthorizedOfficialTitleorPosition: OPHTHALMOLOGIST
AuthorizedOfficialTelephone: 2058703937
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X5659ALY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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