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Contact Information

KESHIA S ELDER, OD
1716 UNIVERSITY BLVD
HPB G080A
BIRMINGHAM, AL35294-0010
 Phone: 205-975-2020
 Fax: 205-934-6755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for KESHIA S ELDER · (Female)

NPI # 1649234295
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/12/2006
Last updated 10/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # T193TA757
  • MO License # 2011023817
  • SC License # 1188
  • AL Medicaid 9912034
  • MO Medicaid 1649234295
  • SC Medicaid D11887
  • AL Other 51543068 BCBS OF ALABAMA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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