Michelson Laser Vision

Primary specialty

SpecialistTaxonomy code 174400000X

License

00007455 Issued in AL

Legal business name

MICHELSON LASER VISION

Practice address

327 Summit Blvd
Birmingham, AL 35243-3132

Phone

(205) 969-8100

Fax

(205) 969-2011

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc A Michelson, M.D.

Title

President

Phone

(205) 969-8100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790873313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SUMMIT BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433132",
            "telephone_number": "205-969-8100",
            "fax_number": "205-969-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 SUMMIT BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433132",
            "telephone_number": "205-969-8100",
            "fax_number": "205-969-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELSON LASER VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-969-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00007455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Michael III, M.D.
• Taylor Bahos Michaelis
• Elaine Michaels, RPH
• Katherine Michaels, LPC
• John Paul Michaud, MD
• Jennifer Leigh Michelson, M.D.
• Marc Alan Michelson, M.D.
• Gail J Mick, M.D.
• Mickey Gallardo Physical Therapy
• Mid-South Home Care Services, Inc. (Mid-South)

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.