John    Lyon    MD
Contract Details
Ophthalmology Associates
Facility name
Provider ID
P000001030
Tax ID
630577668
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
6/20/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
801 Princeton Avenue Southwest Suite 530
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057871411 (Phone)
Billing Details
Address
840 Montclair Road
Suite 722
Birmingham, AL 35213
Billing Phone
2055912311
Specialty Type
Ophthalmology
Map
Address