Nicholas  E  Barreca    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000088
NPI
1487745279
Tax ID
630836690
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
207 East Brunson Street Suite 300
Enterprise, AL 36330
United States
County
Coffee
Phone
3343477822 (Phone)
Billing Details
Address
207 East Brunson Street
Suite 300
Enterprise, AL 36330
Billing Phone
3343477822
Specialty Type
Ophthalmology
Map
Address