TALLADEGA OPTICAL DISPENSARY LLC (NPI# 1235281536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235281536 |
| Entity Type | Organization |
| Organization Name | TALLADEGA OPTICAL DISPENSARY LLC |
| Practice Address |
216 Battle St E Talladega AL 35160-2420 |
| Practice Telephone | 2567611889 |
| Practice Fax Number | 2563621540 |
| Mailing Telephone | 2567611889 |
| Mailing Fax Number | 2563621540 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KHALID L KHAN (OWNER) |
| Authorized Official Telephone | 2563621590 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51512981 | 01 |
| Street Address |
216 BATTLE ST E |
| City | TALLADEGA |
| State | AL |
| Zip Code | 35160-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168810 | Khalid Latif Khan | Ophthalmology | 216 Battle St E, Ste A, Talladega, AL 35160-2420 | 2005-07-19 |
| 1881747558 | Khalid L Khan, M.d., P.C. | Ophthalmology | 216 Battle St E, Suite A, Talladega, AL 35160-2420 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719729 | Fci Talladega | Clinic/Center | 565 E. Renfroe Road, Telladega, AL 35160 | 2020-10-30 |
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1235799404 | Rehab and Wellness Clinic, LLC | Pain Medicine | 129 Stephen J White Blvd, Talladega, AL 35160 | 2019-06-19 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1780119073 | Rural Urgent Care LLC | Clinic/Center | 837 E Battle St, Talladega, AL 35160 | 2017-04-25 |
| 1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
| 1477708857 | Island Medical Troy Alabama LLC | Emergency Medicine | 604 Stone Avenue, Talladega, AL 35160 | 2008-11-26 |
| 1023284676 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 805 North Street East, Talladega, AL 35160 | 2008-05-05 |
| 1942496575 | Renal Treatment Centers Southeast Lp | Clinic/Center | 726 Battle St E, Ste A, Talladega, AL 35160 | 2007-09-18 |
| Find all providers in zip 35160 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033291463 | Wal-mart Stores East, Lp | Technician/Technologist | 214 Haynes St, Talladega, AL 35160-2560 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| 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.