Provider Demographics
NPI:1053609859
Name:PERKINS, ELIZABETH CHRISTINA (OD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CHRISTINA
Last Name:PERKINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 FLAG CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-4917
Mailing Address - Country:US
Mailing Address - Phone:205-977-7290
Mailing Address - Fax:
Practice Address - Street 1:2800 CAHABA VILLAGE PLZ
Practice Address - Street 2:SUITE 270
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35243-5939
Practice Address - Country:US
Practice Address - Phone:205-977-7290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B88 TA-804152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist