Contract Details
Facility name
Tuscaloosa Ophthalmology
Provider ID
P000007465
NPI
1851496087
Tax ID
631074848
Effective Date
10/1/2002
Last Updated
2/24/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
535 Jack Warner Parkway Northeast Suite B-1
Tuscaloosa, AL 35404
United States
County
Tuscaloosa
Phone
2055562121 (Phone)
Billing Details
Address
535 Jack Warner Parkway Northeast
Suite B-1
Tuscaloosa, AL 35404
Billing Phone
2055562121
Specialty Type
Ophthalmology
Map
Address