MICHELLE EBRAHIM (NPI# 1376645226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376645226 |
| Entity Type | Individual |
| Full Name | MICHELLE EBRAHIM |
| Credential | OD |
| Practice Address |
3300 S Oates St Precision Vision, PC Dothan AL 36301-5694 |
| Mailing Address |
1880 Hartford Hwy Apt E23 Dothan AL 36301-4938 |
| Practice Telephone | 3347020508 |
| Mailing Telephone | 3347124551 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | R-129 TA-427 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51096728 | 01 |
| Street Address |
3300 S OATES ST PRECISION VISION, PC |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-5694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641490 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3300 S Oates St, Dothan, AL 36301-5694 | 2006-07-16 |
| 1780178640 | Nicholas Andrew Gillespie | Pharmacy | 3300 S Oates St, Dothan, AL 36301-5694 | 2018-06-14 |
| 1720518020 | Christopher L Wood | Pharmacist | 3300 S Oates St, Dothan, AL 36301-5694 | 2017-06-19 |
| 1336282821 | Walmart | Pharmacist | 3300 S Oates St, Attn Pharmacy, Dothan, AL 36301-5694 | 2007-02-14 |
| 1740361138 | Wal-mart Stores East, Lp | Technician/Technologist | 3300 S Oates St, Dothan, AL 36301-5694 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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 |
|---|---|---|---|---|
| 1487214763 | Purvision LLC | Optometrist | 2464 W Main St Ste 3, Dothan, AL 36301-6413 | 2019-06-18 |
| 1013226471 | Murray Vision Source Inc | Optometrist | 5630 W Main St Ste 5, Dothan, AL 36305-9415 | 2010-10-04 |
| 1518089028 | C.s. Mcarthur, O.d.,p.c. | Optometrist | 3201 Montgomery Hwy Ste 1, Dothan, AL 36303-2113 | 2007-04-04 |
| 1518049980 | David S Sheffield | Optometrist | 2464 W Main St, Suite 3, Dothan, AL 36301-6411 | 2006-10-19 |
| 1669489902 | Charles Scot Mcarthur | Optometrist | 900 Commons Dr, Suite 605, Dothan, AL 36303-2283 | 2006-08-01 |
| 1801815121 | Jeffery Michael Cleland | Optometrist | 464 W Grey Hodges Rd, Dothan, AL 36303-7502 | 2006-07-18 |
| 1639103799 | Michael A Griffin | Optometrist | 200 Medical Care Way, Dothan, AL 36303-7013 | 2006-07-11 |
| 1700819240 | Vision Professionals | Optometrist | 102 Doctors Drive, Dothan, AL 36301-3026 | 2006-07-08 |
| 1366410037 | Paul Curtis Roten | Optometrist | 1936 Ross Clark Cir, Dothan, AL 36301-5750 | 2006-03-09 |
| 1558346973 | Ron Sealock | Optometrist | 1623 W Main St, Dothan, AL 36301-1315 | 2005-12-08 |
| Find all providers in DOTHAN | ||||
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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.