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Susan
B
Luks
OD
Contract Details
Ophthalmology Associates, P.C.
Facility name
Provider ID
P000001022
NPI
1164485405
Tax ID
630577668
Effective Date
3/1/1999
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
6/20/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
801 Princeton Avenue Southwest Suite 530
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057871411
(
Phone
)
Billing Details
Address
840 Montclair Road
Suite 722
Birmingham, AL 35213
Specialty Type
Optometry
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Address