SELMA FAMILY PRACTICE OPTOMETRY, INC. (NPI# 1891841599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891841599 |
| Entity Type | Organization |
| Organization Name | SELMA FAMILY PRACTICE OPTOMETRY, INC. |
| Other Organization Name | EYEMAX VISION CENTER |
| Practice Address |
32510 Highway 43n Thomasville AL 36784-1622 |
| Mailing Address |
32510 Highway 43 Thomasville AL 36784-1611 |
| Practice Telephone | 3346360016 |
| Practice Fax Number | 3346369734 |
| Mailing Telephone | 3346360016 |
| Mailing Fax Number | 3346369734 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | DR. LEROY MAXWELL SR. (OPTOMETRIST) |
| Authorized Official Telephone | 3348722321 |
| Authorized Official Credential | O.D M.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S435TA115 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000055528 | 05 | |
| AL | BLUE CROSS | 51055528 | 01 |
| Other Name | Type Code |
|---|---|
| Eyemax Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971803 | Selma Family Practice Optometry, Inc. | Optometrist | 1502 Highway 80e, Suite A, Demopolis, AL 36732-0799 | 2007-01-24 |
| 1871677260 | Selma Family Practice Optometry, Inc. | Optometrist | 2401 Medical Center Pkwy, Selma, AL 36701-7756 | 2006-10-24 |
| Street Address |
32510 HIGHWAY 43N |
| City | THOMASVILLE |
| State | AL |
| Zip Code | 36784-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644341 | Milind Patel | Pharmacist | 33151 U.S. 43, Thomasville, AL 36784 | 2014-10-20 |
| 1518085695 | Clarke County Internal Medicine LLC | Internal Medicine | 411 Wilson Ave, Thomasville, AL 36784 | 2007-03-27 |
| 1316041478 | Family Medical Center-thomasville PC | Family Medicine | 1415 Mosley Drive, Thomasville, AL 36784 | 2006-09-11 |
| 1275533374 | Angela Moore-jones | Pharmacist | 33151 Highway 43, Thomasville, AL 36784-1634 | 2005-07-29 |
| 1477078251 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 33151 Highway 43, Thomasville, AL 36784-1634 | 2017-08-14 |
| 1639462187 | Barbara Ellen Wilson | Pharmacist | 33151 Highway 43, Thomasville, AL 36784-1634 | 2011-05-17 |
| 1982713384 | Harco Inc | Durable Medical Equipment & Medical Supplies | 33151 Highway 43, Thomasville, AL 36784-1634 | 2006-08-30 |
| 1720270994 | Jerry Lee Schreiner | Chiropractor | 32620 Highway 43 Ste B, Thomasville, AL 36784-1655 | 2007-08-13 |
| 1124227061 | Benjamin Michael Stephens | Nurse Anesthetist, Certified Registered | 220 Old Highway 5 N, Thomasville, AL 36784-1812 | 2007-07-11 |
| 1407074891 | Robert A. Norris Jr. | Physical Therapist | 8 W Front St S, Thomasville, AL 36784-2008 | 2007-04-23 |
| Find all providers in zip 36784 | ||||
| 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 |
|---|---|---|---|---|
| 1770033383 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15043 Us Highway 19 S, Thomasville, GA 31792-4869 | 2016-10-06 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1154593614 | Earl Douglas Crew Jr Od | Optometrist | 15043 Us Highway 19 South, Thomasville, GA 31792 | 2008-03-25 |
| 1316125206 | Ron M Bannister Od | Optometrist | 102 S Dawson St, Thomasville, GA 31792-5185 | 2008-02-04 |
| 1710047329 | Robin G Eason | Optometrist | 14815 Us Highway 19 S, Suite 1000, Thomasville, GA 31792-4889 | 2006-12-12 |
| 1053417956 | Ron M Bannister | Optometrist | 15196 Us Highway 19 S, Thomasville, GA 31757-4820 | 2006-09-16 |
| 1891726691 | Pr Eyecare Consulting Group Od Pa | Optometrist | 1040 Randolph Str, Ste 14-15, Thomasville, NC 27360 | 2006-07-06 |
| 1629051693 | Peter Michael Rogaski | Optometrist | 1040 Randolph St, Ste 1415, Thomasville, NC 27360-6383 | 2005-11-23 |
| 1134113475 | Paul Douglas Ware | Optometrist | 1585 Liberty Dr, Thomasville, NC 27360-6356 | 2005-09-01 |
| 1295733426 | James S Pope | Optometrist | 1033 Randolph St Ste 4, Thomasville, NC 27360-5731 | 2005-07-12 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 36784 |
Please comment or provide details below to improve the information on SELMA FAMILY PRACTICE OPTOMETRY, INC..
| 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.