Mcclintock, Mark D
Mcclintock, Mark D is an individual health care provider with primary practice located at 3240 Edwards Lake Pkwy Ste 100, Birmingham AL 35235-3128. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcclintock, Mark D can be contacted via phone (205) 949-2020.Contact Information
Primary practice address
3240 Edwards Lake Pkwy Ste 100
Birmingham AL 35235-3128
Phone: (205) 949-2020
Fax: (205) 949-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-612-TA-580 | Alabama |
Profile Details
| NPI number | 1750384202 |
|---|---|
| LBN Legal business name | Mcclintock, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | Apr 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750384202 | NPPES |
| Alabama | Other | 051504832 | BLUECROSS/BLUE SHIELD ALA |
| Alabama | Other | 410046871 | BLUECROSS/BLUE SHIELD ALA |
| Alabama | MEDICAID | 051504832 | BLUECROSS/BLUE SHIELD ALA |
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