C B MCINNISH, OD PA (NPI# 1548391337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548391337 |
| Entity Type | Organization |
| Organization Name | C B MCINNISH, OD PA |
| Practice Address |
106 W Jackson St Brewton AL 36426-1516 |
| Mailing Address |
Po Box 1268 Brewton AL 36427-1268 |
| Practice Telephone | 2518673635 |
| Mailing Telephone | 2518673635 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DR. CARL BYRON MCINNISH (OWNER) |
| Authorized Official Telephone | 2518673635 |
| Authorized Official Credential | OD, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-312-TA-059 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51092846 | 01 |
| Street Address |
106 W JACKSON ST |
| City | BREWTON |
| State | AL |
| Zip Code | 36426-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448586 | Eye Partners PC | Durable Medical Equipment & Medical Supplies | 106 W Jackson St, Brewton, AL 36426-1516 | 2020-08-19 |
| 1922057306 | Carl Byron Mcinnish | Optometrist | 106 W Jackson St, Brewton, AL 36426-1516 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| 1063958536 | Nicole Jones | Counselor | 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 | 2017-01-09 |
| 1225284185 | Mark Herbert Surles | Chiropractor | 217 Belleville Ave, Brewton, AL 36426 | 2008-08-12 |
| 1497972061 | Reese John Robinson | Dentist | 102 Mason St, Brewton, AL 36426 | 2007-04-18 |
| 1265543797 | James Randall Deatherage | Dentist | 422 Douglas Avenue, Brewton, AL 36426 | 2006-08-31 |
| 1053389403 | Andria P Caldwell | Dentist | 1115 Azalea Place, Brewton, AL 36426 | 2006-03-10 |
| 1013043637 | Shai Tanyette Hall | Dentist | 1503 Mcmillan Ave, Brewton, AL 36426-1132 | 2007-02-26 |
| 1700067238 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2007-11-27 |
| 1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
| 1154763092 | Stacy Miles | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
| Find all providers in zip 36426 | ||||
| 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 |
|---|---|---|---|---|
| 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.