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James
M
Lewis
MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000989
NPI
1821054511
Tax ID
761172099
Effective Date
3/1/1999
Last Updated
4/17/2014
Direct Contract
Yes
Term Date
4/17/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2401 15th Avenue North
Birmingham, AL 35234
United States
County
Jefferson
Phone
2055023937
(
Phone
)
Billing Details
Address
2401 15th Avenue North
Birmingham, AL 35234
Billing Phone
2055023937
Specialty Type
Ophthalmology
Map
Address