DR. MATTHEW GERARD VICINANZO (NPI# 1740283266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740283266 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW GERARD VICINANZO |
| Credential | M.D. |
| Practice Address |
1000 19th St S Birmingham AL 35205-4804 |
| Practice Telephone | 2059300700 |
| Practice Fax Number | 2059309127 |
| Mailing Telephone | 2059300700 |
| Mailing Fax Number | 2059309127 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
25771 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051520716 | 05 |
| Street Address |
1000 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031743 | Frederick John Elsas | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2005-05-30 |
| 1033601414 | Allison Cheek Mckelvey | Optometrist | 1000 19th St S, Birmingham, AL 35205-4804 | 2018-06-01 |
| 1023471455 | Erik Richard Johnson | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2016-04-02 |
| 1174943138 | Colette Jackson | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2014-04-17 |
| 1114362688 | Walter Tyson Parker | Ophthalmology | 1000 19th St S, Birmingham, AL 35205 | 2013-05-09 |
| 1528379716 | Jennifer Dudney Davidson | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2010-06-23 |
| 1386847374 | Kristin Carroll Bains | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2007-06-07 |
| 1366484941 | Alabama Ophthalmology Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 1000 19th St S, Birmingham, AL 35205-4804 | 2006-06-11 |
| 1134122658 | Robert Lewis Phillips | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2005-05-30 |
| 1861495384 | John Alva Long | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2005-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495384 | John Alva Long | Ophthalmology | 1000 19th St S, Birmingham, AL 35205-4804 | 2005-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421904 | Alabama Oculoplastic Surgery, LLC | Ophthalmology | 910 Adams St Se Ste 130, Huntsville, AL 35801-3751 | 2020-03-09 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on DR. MATTHEW GERARD VICINANZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.