Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Gerald
Simon
OD
Contract Details
Medical West Hueytown Health Center
Facility name
Provider ID
P000001612
NPI
1386654739
Tax ID
631143538
Effective Date
11/20/2007
Last Updated
4/7/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023
United States
County
Jefferson
Phone
2054913299
(
Phone
)
Billing Details
Address
Billing Phone
2054817121
Specialty Type
Optometry
Map
Address