Michael O. Stutts O.D.LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S654TA084 Issued in AL

Legal business name

MICHAEL O. STUTTS O.D.LLC

Practice address

401 Cox Blvd
Suite B
Sheffield, AL 35660-4059

Phone

(256) 314-4424

Fax

(256) 314-4535

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael O Stutts, O.D.NPI 1275570251

Title

Optometirst

Phone

(256) 314-4424

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Owen Stutts, O.D.

  • Optometrist
  • Sheffield, AL
  • NPI 1275570251
  Medicare reassignment Authorized official
• Jeremy Shane Campbell, O.D.

  • Optometrist
  • Russellville, AL
  • NPI 1710088711
  NPD (past)
• Lauren N Stirling, O.D.

  • Optometrist
  • Russellville, AL
  • NPI 1669752796
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1013200542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COX BLVD",
            "address_2": "SUITE B",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604059",
            "telephone_number": "256-314-4424",
            "fax_number": "256-314-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COX BLVD",
            "address_2": "SUITE B",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604059",
            "telephone_number": "256-314-4424",
            "fax_number": "256-314-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. STUTTS O.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "STUTTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OPTOMETIRST",
        "authorized_official_telephone_number": "256-314-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S654TA084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of the Shoals, P.C.
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• Timothy I Melson, MD
• Mental Health Matters Counseling
• Michael Edward Kessler
• Brandie Miller, FNP-C
• Jeremy Andrew Miller, CRNA
• Katelyn Marie Miller, RN
• Kristine Elizabeth Mollohan, NP-C
• Anthony Molloy, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.