DR. HARTLEY ELISE NICHOLS (NPI# 1144521048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144521048 |
| Entity Type | Individual |
| Full Name | DR. HARTLEY ELISE NICHOLS |
| Other Name | DR. HARTLEY ELISE GRUBBS |
| Credential | O.D. |
| Practice Address |
250 State Farm Pkwy Birmingham AL 35209-7181 |
| Practice Telephone | 2059434600 |
| Practice Fax Number | 2059434660 |
| Mailing Telephone | 2059434600 |
| Mailing Fax Number | 2059434660 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-C43-TA-859 | AL | Eye and Vision Services Providers |
| Street Address |
250 STATE FARM PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-7181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343917 | Jeffrey J Fuller | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2005-08-12 |
| 1487065868 | Michael Christopher Eddins | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209 | 2014-05-19 |
| 1427481464 | Dale Brown Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2013-08-13 |
| 1427493477 | Kristin Madonia Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2013-05-03 |
| 1912296393 | Jeffrey J Fuller Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2011-04-06 |
| 1902129075 | Matthew B Albright Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2010-03-03 |
| 1942477401 | Kristin Berlin Madonia | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2008-05-14 |
| 1831374263 | Robert W H Mason Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2008-01-03 |
| 1326221458 | Y Choi Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2007-12-12 |
| 1578778890 | Matthew Brian Albright | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| 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 |
|---|---|---|---|---|
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1841842275 | Derek Haden | Optometrist | 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 | 2019-07-16 |
| 1659933448 | National Vision Inc | Optometrist | 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 | 2019-07-02 |
| 1487140828 | Lauren Moriah Boudousquie | Optometrist | 700 19th St S # 124, Birmingham, AL 35233-1927 | 2018-07-09 |
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1164914461 | Amy H Vinogradov | Optometrist | 1716 University Blvd # G090a, Birmingham, AL 35233-1816 | 2018-06-01 |
| 1871084723 | John James Bushaw Iv | Optometrist | 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 | 2018-05-27 |
| 1992215719 | Christopher Hahn Lee | Optometrist | 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 | 2017-10-06 |
| 1215447073 | Myeyedr Optometry of Alabama LLC | Optometrist | 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 | 2017-10-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.