James H. Poole, O.D.
Organization Active NPI Optometrist · Ashland, AL
NPI 1013057355 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1013057355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- S-641-TA-157 (AL)
- Legal business name
- JAMES H. POOLE, O.D.
- Practice address
- 83745 Hwy 9
Ashland, AL 36251 - Phone
- (256) 354-2010
- Fax
- (256) 354-5324
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James H. Poole, O.D.
- Title
- Owner
- Phone
- (256) 354-2010
Other NPIs on the same Medicare enrollment 1
Practitioners 2
-
James Howard Poole, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071114000325 | AL | Part B Supplier - Clinic/Group Practice | 9638267370 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alexander City, AL; Ashland, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | S-641-TA-157 | AL | Yes |
| Corneal and Contact Management Optometrist |
152WC0802X | S-641-TA-157 | AL | |
| Low Vision Rehabilitation Optometrist |
152WL0500X | S-641-TA-157 | AL | |
| Pediatric Optometrist |
152WP0200X | S-641-TA-157 | AL | |
| Sports Vision Optometrist |
152WS0006X | S-641-TA-157 | AL | |
| Vision Therapy Optometrist |
152WV0400X | S-641-TA-157 | AL |
Addresses
Primary practice location
83745 Hwy 9
Ashland, AL 36251
Mailing address
PO Box 1037
Ashland, AL 36251-1037
Phone (256) 354-2010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529906330 | Medicaid | AL |
Other names
- Family Eye Care
Other providers in Ashland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.