ZACKARY ELKINS (NPI# 1114410040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114410040 |
| Entity Type | Individual |
| Full Name | ZACKARY ELKINS |
| Credential | OD |
| Practice Address |
105 W I65 Service Rd N Mobile AL 36608 |
| Mailing Address |
Po Box 207243 Dallas TX 75320-7243 |
| Practice Telephone | 2513442020 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-E07 | AL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2003 Medical Center Dr, Bay Minette, AL 365074163 | 2519376582 | 2519376614 |
| Street Address |
105 W I65 SERVICE RD N |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392437 | Aleen Sarah Kaltakdjian | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608-1202 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| 1548556947 | Natasha H Andrews | Nurse Practitioner | 116 Carondolet Court West, Mobile, AL 36608 | 2011-06-23 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063982288 | Alabama Physicians Eyecare Group, P.C. | Optometrist | 3653 Airport Blvd Ste C, Mobile, AL 36608-1615 | 2018-11-30 |
| 1487084612 | Ayesha Kidd Senior Eyecare Service LLC | Optometrist | 5700 Grelot Rd, Apt # 925, Mobile, AL 36609-3617 | 2013-11-26 |
| 1518211978 | Daniel & Max | Optometrist | 3653 Airport Blvd, Suite C, Mobile, AL 36608-1615 | 2012-11-06 |
| 1508096512 | Tara Smith Festa | Optometrist | 3290 Dauphin St., Suite 401, Mobile, AL 36606-4053 | 2009-07-24 |
| 1487848701 | Eye Care Associates Inc | Optometrist | 3460 Spring Hill Ave, Mobile, AL 36608-1523 | 2007-08-29 |
| 1407977408 | Clardy Contact Lens Center, Inc. | Optometrist | 3167 Dauphin St, Mobile, AL 36606-4061 | 2007-04-03 |
| 1598883084 | Curtis Reed | Optometrist | 6001a Grelot Rd, Mobile, AL 36609-3609 | 2007-03-26 |
| 1174651749 | Albert Eugene Franklin IIi | Optometrist | 3716 Airport Blvd Ste A, Mobile, AL 36608-1618 | 2007-03-02 |
| 1952461279 | William Bradley | Optometrist | 3291 Bel Air Mall, Mobile, AL 36606-3207 | 2006-12-08 |
| 1003985201 | Eric P West | Optometrist | 1432 Hillcrest Rd, Mobile, AL 36695-3926 | 2006-11-06 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.