Bruce    Wasserman    MD
Contract Details
Alabama Eye Center
Facility name
Provider ID
P000001828
Tax ID
630813294
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
4/1/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
20 Medical Center Drive Suite 20
Jasper, AL 35501
United States
County
Walker
Phone
2052214705 (Phone)
Billing Details
Address
20 Medical Center Drive
Suite 20
Jasper, AL 35501
Billing Phone
2052214705
Specialty Type
Ophthalmology
Map
Address