Provider Demographics
NPI:1366255168
Name:ST CLAIR EYE PLLC
Entity type:Organization
Organization Name:ST CLAIR EYE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHILPA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-206-4518
Mailing Address - Street 1:41 EMINENCE WAY STE A
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-2338
Mailing Address - Country:US
Mailing Address - Phone:205-206-4518
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:41 EMINENCE WAY STE A
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2338
Practice Address - Country:US
Practice Address - Phone:205-206-4518
Practice Address - Fax:205-884-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center