PRIMARY EYECARE OF ELBA, INC (NPI# 1255449401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255449401 |
| Entity Type | Organization |
| Organization Name | PRIMARY EYECARE OF ELBA, INC |
| Practice Address |
910 Claxton Ave N Elba AL 36323-1541 |
| Mailing Address |
Po Box 768 Elba AL 36323-0768 |
| Practice Telephone | 3348975100 |
| Practice Fax Number | 3348973632 |
| Mailing Telephone | 3348975100 |
| Mailing Fax Number | 3348973632 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MRS. VICKY L STINSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3348975100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529912470 | 05 |
| Street Address |
910 CLAXTON AVE N |
| City | ELBA |
| State | AL |
| Zip Code | 36323-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1467484493 | Freds Stores of Tennessee Inc | Pharmacy | 966 Hwy 203, Elba, AL 36323 | 2006-07-07 |
| 1871850297 | Noah Tucker Inpatient Services | Internal Medicine | 987 Drayton Street, Elba, AL 36323 | 2012-04-23 |
| 1356490197 | Coffee County Health Dept-elba Mat | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-01-10 |
| 1821123928 | State of Alabama Department of Public Health | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-22 |
| 1649314634 | Coffee County Health Dept-elba Vfc Immun | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1669516373 | Coffee County Health Dept-elba Mat Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1093859894 | Coffee County Health Dept-elba Epsdt Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1710020896 | Coffee County Health Dept-elba Fp Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| 1417090630 | Coffee County Health Dept-elba Epsdt | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| Find all providers in zip 36323 | ||||
| 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 |
|---|---|---|---|---|
| 1508897331 | Kenneth D. Strong | Optometrist | 910 N Claxton Ave, Elba, AL 36323-0768 | 2006-07-06 |
| 1871529479 | Mitchell V Purvis | Optometrist | 961 Alabama Highway 203, Elba, AL 36323-4228 | 2006-06-24 |
| 1477164507 | Joshua Driver PC | Optometrist | 961 Alabama Highway 203, Elba, AL 36323-4228 | 2020-08-12 |
| 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.