Contract Details
Facility name
Eastern Medical Eye Center
Provider ID
P000007198
NPI
1578586459
Tax ID
721384996
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
52 Medical Park Drive East Suite 211
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383696 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 211
Birmingham, AL 35235
Billing Phone
2058383696
Specialty Type
Ophthalmology
Map
Address