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