Provider Demographics
NPI:1831178920
Name:MATTHEWS, DONNA FRANCES (OD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:FRANCES
Last Name:MATTHEWS
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 1:5620 11TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-4138
Mailing Address - Country:US
Mailing Address - Phone:205-595-3117
Mailing Address - Fax:205-328-4270
Practice Address - Street 1:2014 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4108
Practice Address - Country:US
Practice Address - Phone:205-328-1744
Practice Address - Fax:205-328-4270
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL-688-257152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL631282024OtherUNITEDHEALTHCARE
AL529916370Medicaid
ALU16348OtherVIVA
AL631282024OtherHEALTHSPRING
AL051503741Medicare PIN
ALU16348OtherVIVA