MALLARD EYECARE, INC (NPI# 1942529292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942529292 |
| Entity Type | Organization |
| Organization Name | MALLARD EYECARE, INC |
| Practice Address |
1415 7th St S Clanton AL 35045-3746 |
| Mailing Address |
826 Savannah Ln Calera AL 35040-5553 |
| Practice Telephone | 2057557114 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | DR. BONNIE MALLARD (PRESIDENT) |
| Authorized Official Telephone | 2057557114 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009933443 | 05 |
| Street Address |
1415 7TH ST S |
| City | CLANTON |
| State | AL |
| Zip Code | 35045-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849318 | Bonnie E Mallard | Optometrist | 1415 7th St S, Clanton, AL 35045-3746 | 2005-08-25 |
| 1770013104 | Lisa Bates Downing | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-18 |
| 1841729654 | Kimberly Fridy | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-06 |
| 1518496439 | Heath Hogge | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
| 1184153058 | Katie Rebecca Fussell | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
| 1154410850 | Wal-mart Stores East, Lp | Technician/Technologist | 1415 7th St S, Clanton, AL 35045-3746 | 2006-10-12 |
| 1437176732 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1415 7th St S, Clanton, AL 35045-3746 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912630 | Mesha Cain | Counselor | 808 Lay Dam Road, Clanton, AL 35045 | 2018-05-10 |
| 1720577562 | Erin Ellis Davis | Nurse Practitioner | 107 Medical Center Drive, Clanton, AL 35045 | 2018-05-07 |
| 1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
| 1154533958 | Sandra Gayle Burrough | Physical Therapist | Amedisys Home Health, 1601-7th Street, North, Suite B, Clanton, AL 35045 | 2007-05-04 |
| 1508088139 | Christy Vanture Stephens | Occupational Therapist | 1601 7th Street North, Clanton, AL 35045 | 2007-05-03 |
| 1477620896 | Phillip Dewey Foshee | General Practice | 310 Pinedale Rd, Clanton, AL 35045 | 2006-11-29 |
| 1396817615 | Christopher W Baker | Dentist | 101 Baker Avenue, Clanton, AL 35045 | 2006-11-14 |
| 1902985146 | Catrina G. Benson | Pharmacist | 640 Ollie Ave., Clanton, AL 35045 | 2006-11-06 |
| 1952411464 | Gladys Eleanor R Alolod | Pediatrics | 303 1st St N, Clanton, AL 35045 | 2006-08-30 |
| 1902827280 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 640 Ollie Ave, Clanton, AL 35045 | 2006-07-21 |
| Find all providers in zip 35045 | ||||
| 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 |
|---|---|---|---|---|
| 1093885105 | 20 20 Eyecare Inc | Optometrist | 638 Clanton Market Place, Clanton, AL 35045-2246 | 2006-11-08 |
| 1407809973 | Bethany Baker Lyn | Optometrist | 1100 Lay Dam Rd, Clanton, AL 35045-2308 | 2006-05-18 |
| 1801859400 | Maurice Jose Lyn | Optometrist | 638 Clanton Marketplace, Clanton, AL 35045-2246 | 2006-04-06 |
| 1801873302 | James L Driggars | Optometrist | 109 Medical Center Drive, Clanton, AL 35045 | 2005-12-27 |
| 1407849318 | Bonnie E Mallard | Optometrist | 1415 7th St S, Clanton, AL 35045-3746 | 2005-08-25 |
| 1417422528 | Myeyedr Optometry of Alabama LLC | Optometrist | 700 7th St S, Clanton, AL 35045-3778 | 2018-10-05 |
| 1124548318 | Betsy Stevenson Farris | Optometrist | 1100 Lay Dam Rd, Clanton, AL 35045-2308 | 2017-06-20 |
| 1427363183 | Sarrell Regional Dental and Eye Center | Optometrist | 1141 Jasper Dennis Rd, Clanton, AL 35045-3783 | 2010-08-18 |
| 1790954543 | James L Driggars Od Pa | Optometrist | 109 Medical Center Dr, Clanton, AL 35045-2331 | 2008-02-26 |
| 1194761668 | Eye Care Associates, Inc | Optometrist | 1100 Lay Dam Rd, Clanton, AL 35045-2308 | 2006-06-21 |
| Find all providers in CLANTON | ||||
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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.