Family Eye Care of Sylacauga LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C54-TA-889 Issued in AL

Legal business name

FAMILY EYE CARE OF SYLACAUGA LLC

Practice address

493 W 3Rd St
Sylacauga, AL 35150-1916

Phone

(256) 245-7696

NPI assigned

May 8, 2013

Last updated

May 8, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Leeann Cantley, O.D.NPI 1053691113

Title

Optometrist

Phone

(256) 507-1416

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Leeann Cantley, O.D.

  • Optometrist
  • Sylacauga, AL
  • NPI 1053691113
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1003251653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 W 3RD ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501916",
            "telephone_number": "256-245-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 W 3RD ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501916",
            "telephone_number": "256-245-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF SYLACAUGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "CANTLEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "256-507-1416",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": "S-C54-TA-889",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C54-TA-889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdalla Mohamed Elkhier, MD
• Mahgoub Abdalla Eltoum, MD
• Megan Epperson, RN, IBCLC
• Faith 'Homecare' Hospice, Inc. (Faith Hospice)
• Family Eye Care
• Stephanie Farr, PHARM.D.
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Erin Humbles Fonbah, PHARM.D.
• Fort Williams Pharmacy, LLC

• Optometrist in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.