AYESHA KIDD SENIOR EYECARE SERVICE LLC (NPI# 1487084612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487084612 |
| Entity Type | Organization |
| Organization Name | AYESHA KIDD SENIOR EYECARE SERVICE LLC |
| Practice Address |
5700 Grelot Rd Apt # 925 Mobile AL 36609-3617 |
| Practice Telephone | 2058355024 |
| Mailing Telephone | 2058355024 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | AYESHA KIDD (OWNER) |
| Authorized Official Telephone | 2058355024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-C61-TA-904 | AL | Eye and Vision Services Providers |
| Street Address |
5700 GRELOT RD APT # 925 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| 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 |
|---|---|---|---|---|
| 1063982288 | Alabama Physicians Eyecare Group, P.C. | Optometrist | 3653 Airport Blvd Ste C, Mobile, AL 36608-1615 | 2018-11-30 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1518211978 | Daniel & Max | Optometrist | 3653 Airport Blvd, Suite C, Mobile, AL 36608-1615 | 2012-11-06 |
| 1508096512 | Tara Smith Festa | Optometrist | 3290 Dauphin St., Suite 401, Mobile, AL 36606-4053 | 2009-07-24 |
| 1487848701 | Eye Care Associates Inc | Optometrist | 3460 Spring Hill Ave, Mobile, AL 36608-1523 | 2007-08-29 |
| 1407977408 | Clardy Contact Lens Center, Inc. | Optometrist | 3167 Dauphin St, Mobile, AL 36606-4061 | 2007-04-03 |
| 1598883084 | Curtis Reed | Optometrist | 6001a Grelot Rd, Mobile, AL 36609-3609 | 2007-03-26 |
| 1174651749 | Albert Eugene Franklin IIi | Optometrist | 3716 Airport Blvd Ste A, Mobile, AL 36608-1618 | 2007-03-02 |
| 1952461279 | William Bradley | Optometrist | 3291 Bel Air Mall, Mobile, AL 36606-3207 | 2006-12-08 |
| 1003985201 | Eric P West | Optometrist | 1432 Hillcrest Rd, Mobile, AL 36695-3926 | 2006-11-06 |
| Find all providers in MOBILE | ||||
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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.