Andrea  Q  Beavers    OD
Contract Details
Eastern Medical Eye Center, P.C.
Facility name
Provider ID
P000000104
Tax ID
721384996
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/7/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
150 Gilbreath Drive Suite 103
Oneonta, AL 35121
United States
County
Blount
Phone
2052744200 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 211
Birmingham, AL 35235
Billing Phone
2058383696
Specialty Type
Optometry
Map
Address