DRS SIMON & MEDLOCK PRTNR


Address: 832 Princeton Ave Sw, Birmingham, AL 35211-1320
Phone: 2057807053

DRS SIMON & MEDLOCK PRTNR (NPI# 1811089808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811089808
Entity Type Organization
Organization Name DRS SIMON & MEDLOCK PRTNR
Practice Address 832 Princeton Ave Sw
Birmingham
AL 35211-1320
Mailing Address Po Box 360064
Hoover
AL 35236-0064
Practice Telephone 2057807053
Practice Fax Number 2052068368
Mailing Telephone 2055600477
Mailing Fax Number 2055600477
Enumeration Date 2006-09-28
Last Update Date 2010-11-12
Authorized Official Name DR. RONALD DAVID MEDLOCK (PARTNER)
Authorized Official Telephone 2055600477
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist S587TA195; S592T AL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL MEDICARE GROUP NUMBER E659 01

Office Location

Street Address 832 PRINCETON AVE SW
City BIRMINGHAM
State AL
Zip Code 35211-1320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891778023 Rudolph M Navari Internal Medicine 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2005-11-22
1013544196 Sandra Delores Collins Advanced Practice Midwife 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2020-03-26
1508498486 Morgan White Physical Therapist 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2020-02-07
1417594110 Fyzical Princeton, LLC Physical Therapist 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2019-12-02
1588158877 Samantha Diane Williams Nurse Practitioner 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2018-06-19
1609374495 Hamilton Joy Yarbrough Advanced Practice Midwife 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2018-01-26
1710403779 Alexandria Taylor Crumpton Nurse Practitioner 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2017-08-21
1780100776 Bevin Lyle Ellenberg Nurse Practitioner 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2017-08-21
1346774866 Meghan Golson Nurse Practitioner 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2017-04-12
1407389034 Benjamin Dominic Breazile Internal Medicine 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2017-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982216123 Tara Brown Technician 2007 Goldwire Trce, Birmington, AL 35211 2020-08-19
1477173318 Jeffrey D. Cooney Student in an Organized Health Care Education/Training Program 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 2020-04-21
1982253852 Josephine Cook Technician 1255 18th St Sw, Birmingham, AL 35211 2019-09-04
1154882322 Stephen Jenkins Registered Nurse 701 Princeton Ave. Sw, Birmingham, AL 35211 2019-03-28
1780107052 Negar Massah Dentist 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 2017-07-19
1417075342 Joseph Edward Mcjunkin Pharmacist 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 2007-03-27
1669500880 Prakash Chand Kansal Internal Medicine 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 2007-03-01
1588717284 Laquinta Johnson Occupational Therapist 420 10th St Sw, Birmingham, AL 35211 2007-01-18
1174613160 Praveen Jetty Psychiatry & Neurology 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 2006-10-13
1326134180 Yahya M Sabri Obstetrics & Gynecology 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 2006-10-05
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417560418 Blue Vision Center LLC Optometrist 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 2020-08-28
1588205223 See Inc Optometrist 200 Summit Blvd, Suite 168, Birmingham, AL 35243 2019-10-03
1841842275 Derek Haden Optometrist 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 2019-07-16
1659933448 National Vision Inc Optometrist 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 2019-07-02
1487140828 Lauren Moriah Boudousquie Optometrist 700 19th St S # 124, Birmingham, AL 35233-1927 2018-07-09
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1164914461 Amy H Vinogradov Optometrist 1716 University Blvd # G090a, Birmingham, AL 35233-1816 2018-06-01
1871084723 John James Bushaw Iv Optometrist 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 2018-05-27
1992215719 Christopher Hahn Lee Optometrist 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 2017-10-06
1215447073 Myeyedr Optometry of Alabama LLC Optometrist 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 2017-10-06
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Competitor

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City BIRMINGHAM
Zip Code 35211

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Dataset Information

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.

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