DR. SHELLEIGH MCVICKER BUCKINGHAM (NPI# 1164590659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590659 |
| Entity Type | Individual |
| Full Name | DR. SHELLEIGH MCVICKER BUCKINGHAM |
| Credential | O.D. |
| Practice Address |
2824 Moody Pkwy Moody AL 35004-3101 |
| Practice Telephone | 2056403091 |
| Practice Fax Number | 2056403092 |
| Mailing Telephone | 2056403091 |
| Mailing Fax Number | 2056403092 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S951TA530 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL BLUE CROSS BLUE SHIELD | 510-98955 | 01 |
| AL | VIVA HEALTH | U82943 | 01 |
| AL | AETNA | 7178212 | 01 |
| AL | SOUTHLAND NATIONAL | 0631251031 | 01 |
| AL | CIGNA | 631251031 0001 | 01 |
| AL | UNITED HEALTH CARE | 22-00388 | 01 |
| Street Address |
2824 MOODY PKWY |
| City | MOODY |
| State | AL |
| Zip Code | 35004-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346318912 | St. Clair Eye Care LLC | Optometrist | 2824 Moody Pkwy, Moody, AL 35004-3101 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757420 | Dpi of Alabama LLC | Pain Medicine | 3310 Kelly Creek Rd, Moody, AL 35004 | 2018-04-17 |
| 1215085212 | Joy D Donaldson | Pharmacist | 1005 Moody Crossroads Drive, Moody, AL 35004 | 2007-01-08 |
| 1780764639 | Robert Anthony Funk | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2006-10-16 |
| 1366436156 | Complete Healthcare Center, Inc. | Family Medicine | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-07 |
| 1316431448 | Rebecca Crenshaw Tindle | Pharmacist | 2200 Village Dr, Moody, AL 35004 | 2018-06-21 |
| 1386184612 | Katelyn Campisi | Nurse Practitioner | 2834 Moody Pkwy, Moody, AL 35004 | 2017-03-06 |
| 1033653563 | Anne Claire Craig | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2016-12-19 |
| 1366840357 | Christopher Scott Baker | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2014-12-08 |
| 1376651992 | Lea C Clayton | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004 | 2006-08-25 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| Find all providers in zip 35004 | ||||
| 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 |
|---|---|---|---|---|
| 1619968385 | Gregory A Hively | Optometrist | 2603 Moody Pkwy, Moody, AL 35004-3027 | 2005-11-02 |
| 1912399841 | 4ureye Care LLC | Optometrist | 2345 Moody Pkwy, Ste 206, Moody, AL 35004-3004 | 2015-03-02 |
| 1366791741 | Natalya Frolova | Optometrist | 2345 Moody Pkwy Ste 206, Moody, AL 35004-3039 | 2012-08-31 |
| 1912218074 | Victoria Hollis Hines | Optometrist | 2603 Moody Pkwy, Moody, AL 35004-3062 | 2010-06-23 |
| 1346318912 | St. Clair Eye Care LLC | Optometrist | 2824 Moody Pkwy, Moody, AL 35004-3101 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1932727120 | Justin Michael Kendall | Optometrist | 5850 A Us Hwy 431, Albertville, AL 35950 | 2020-07-14 |
| 1457978504 | Sadiksha Prasain | Optometrist | 616 Northmoor Ln, Homewood, AL 35209-6422 | 2020-07-05 |
| 1447875919 | Brookstone Optical LLC | Optometrist | 4760 Eastern Valley Rd Ste 132, Mc Calla, AL 35111-3460 | 2020-06-10 |
| 1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
| 1023630985 | Southern Vision Eye Care | Optometrist | 308 6th St S Ste 105, Oneonta, AL 35121-1842 | 2020-05-14 |
| 1033745773 | Ashley Ott Od LLC | Optometrist | 21530 Professional Dr Ste D, Robertsdale, AL 36567-9911 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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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.