Advantage Dental Oral Health and Vision Center of Alabama, P.C.

Organization Active NPI Optometrist · Tuscaloosa, AL

NPI 1982978490 · NPPES record last updated Dec 30, 2021

Key facts

NPI
1982978490
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Practice address
1911 Skyland Blvd E
Suite A3
Tuscaloosa, AL 35405
Phone
(205) 469-0444
Fax
(205) 469-0433
NPI assigned
Mar 1, 2012
Organization subpart
No

Authorized official

Name
Sherrie Edmondson
Title
Manager, Licensing & Credentialing
Phone
(629) 999-5014

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Advantage Dental Oral Health and Vision Center of Alabama PC (31 organizations share this tax ID)

Locations

1911 Skyland Blvd E
Ste A3
Tuscaloosa, AL 35405
Phone (205) 469-0444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

1911 Skyland Blvd E
Suite A3
Tuscaloosa, AL 35405

Mailing address

3322 W End Ave Ste 400
Nashville, TN 37203-6805
Phone (629) 999-5014

Other identifiers

IdentifierTypeStateIssuer
136523MedicaidAL

Other providers in Tuscaloosa, AL

All providers in Tuscaloosa, AL · Optometrist in Alabama

Sources for this page

Verify at the official NPI Registry.