Provider Demographics
NPI:1144414467
Name:BAILEY COVE EYE CARE, P.C.
Entity type:Organization
Organization Name:BAILEY COVE EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-880-3200
Mailing Address - Street 1:1411 WEATHERLY PLZ
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2617
Mailing Address - Country:US
Mailing Address - Phone:256-880-3200
Mailing Address - Fax:256-880-1396
Practice Address - Street 1:1411 WEATHERLY PLZ
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2617
Practice Address - Country:US
Practice Address - Phone:256-880-3200
Practice Address - Fax:256-880-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS984TA557152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051550977Medicaid
7459289OtherAETNA
AL51505724OtherBLUE CROSS BLUE SHIELD
23504OtherAVESIS
U86651OtherUPIN
14781OtherSPECTERA
AL529909580Medicaid
=========OtherUNITED HEALTHCARE
U86651OtherUPIN
AL051550977Medicaid
=========OtherMAIL HANDLERS BENEFIT PLA
=========OtherVISION CARE PLAN
AL529909580Medicaid
14781OtherSPECTERA
AL51505724OtherBLUE CROSS BLUE SHIELD
AL051550977Medicare PIN