Vision Source Michael D. Blackburn, O.D.
LBN: Oak Mountain Eye Care Pc
Vision Source Michael D. Blackburn, O.D. is an health care organization with primary practice located at 4960 Valleydale Rd Suite 201, Birmingham AL 35242-4613. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Oak Mountain Eye Care Pc can be contacted via phone (205) 980-5152, or through Blackburn, Michael D via phone (205) 980-5152.
Contact Information
Primary practice address
4960 Valleydale Rd Suite 201
Birmingham AL 35242-4613
Phone: (205) 980-5152
Fax: (205) 980-5154
Website:
Authorized official contact:
Name: Blackburn, Michael D Doctor of Optometry (OD)
Phone: (205) 980-5152
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S672TA330 | Alabama |
Profile Details
| NPI number | 1255316006 |
|---|---|
| LBN Legal business name | Oak Mountain Eye Care Pc |
| DBA Doing business as | Vision Source Michael D. Blackburn, O.D. |
| Authorized official | Blackburn, Michael D Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Feb 21st, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255316006 | NPPES |
| Alabama | Other | 51500011 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | P00105638 | BLUE CROSS BLUE SHIELD |
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