Simon, Gerald

Simon, Gerald is an individual health care provider with primary practice located at 3240 Edwards Lake Pkwy Ste 100 , Trussville AL 35235-3128. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simon, Gerald can be contacted via phone (833) 733-8742.

Contact Information

Primary practice address
3240 Edwards Lake Pkwy Ste 100 Trussville AL 35235-3128
Fax: (205) 634-5640
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-592-TA-197 Alabama

Profile Details

NPI number 1386654739
LBN Legal business name Simon, Gerald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 15th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386654739 NPPES
Alabama Other 59904 BCBS
Alabama MEDICAID 008600476 BCBS
Alabama MEDICAID 009945450 BCBS
Alabama Other T69064 BCBS
Alabama Other 25841 BCBS

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