James  O  Powell    MD
Contract Details
Ophthalmology Associates
Facility name
Provider ID
P000001388
NPI
1780632695
Tax ID
630577668
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
3/17/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
840 Montclair Road Suite 722
Birmingham, AL 35213
United States
County
Jefferson
Phone
2055922311 (Phone)
Billing Details
Address
840 Montclair Road
Suite 722
Birmingham, AL 35213
Billing Phone
2055912311
Specialty Type
Ophthalmology
Map
Address