ANGELA D. RAYBURN (NPI# 1831423680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831423680 |
| Entity Type | Individual |
| Full Name | ANGELA D. RAYBURN |
| Credential | O.D. |
| Practice Address |
55292 Highway 17 Sulligent AL 35586 |
| Mailing Address |
Po Box 335 Sulligent AL 35586-0335 |
| Practice Telephone | 2056987020 |
| Mailing Telephone | 2056987020 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-C05-TA-838 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN | 102I413114 | 01 |
| AL | MEDICARE/DME SUPPLIER PTAN | 6343010001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659865053 | Angela Christina Rayburn | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2018-06-19 |
| 1386909844 | Angela Kaye Rayburn | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2012-07-11 |
| Street Address |
55292 HIGHWAY 17 |
| City | SULLIGENT |
| State | AL |
| Zip Code | 35586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134537855 | Blue Marble Mobility, LLC | Durable Medical Equipment & Medical Supplies | 55285 Hwy 17, Sulligent, AL 35586 | 2014-07-25 |
| 1972812956 | Shana Lann | Pharmacist | 1386 Walnut Street, Sulligent, AL 35586 | 2010-09-24 |
| 1255661070 | Southern Focus, Inc. | Optometrist | 55292 Hwy 17, Sulligent, AL 35586 | 2009-12-29 |
| 1124267570 | Vishal Modi | Family Medicine | 478 Elm St, Sulligent, AL 35586 | 2009-02-09 |
| 1962623470 | Mark D. Land | Dentist | 445 Front Street, Sulligent, AL 35586 | 2007-05-01 |
| 1861547689 | North Lamar County Rescue Squad, Inc. | Ambulance | 5797 Hwy 278, Sulligent, AL 35586 | 2007-01-24 |
| 1366469827 | Freds Stores of Tennessee Inc | Pharmacy | 5705 Hwy 278, Sulligent, AL 35586 | 2006-07-17 |
| 1093221772 | Dr Mark D Land Dmd PC | Dentist | 445 Front Street, Sulligent, AL 35586 | 2017-12-18 |
| 1821376831 | Megan Boyett | Pharmacist | 55298 Hwy 17, Sulligent, AL 35586 | 2011-07-25 |
| 1578741914 | Family Health Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 55298 Hwy 17, Sulligent, AL 35586-0505 | 2008-02-07 |
| Find all providers in zip 35586 | ||||
| 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 |
|---|---|---|---|---|
| 1255661070 | Southern Focus, Inc. | Optometrist | 55292 Hwy 17, Sulligent, AL 35586 | 2009-12-29 |
| 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.