Basic Information
| Provider Information | |||||||||
| NPI: | 1962956326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CANALES | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | DANIELLE | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3428 OLD COLUMBANA RD | ||||||||
| Address2: | SCHAEFFER EYE CENTER | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058247171 | ||||||||
| FaxNumber: | 2058247179 | ||||||||
| Practice Location | |||||||||
| Address1: | 1686 MONTGOMERY HWY | ||||||||
| Address2: | SCHAEFFER EYE CENTER | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059792020 | ||||||||
| FaxNumber: | 2059786487 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2016 | ||||||||
| LastUpdateDate: | 08/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | S-D69 | AL | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.