JSD Eyecare, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JSD EYECARE, L.L.C.

Practice address

9248 Parkway E
Birmingham, AL 35206-1509

Phone

(205) 833-3171

Fax

(205) 833-3059

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By 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

Dr. Jennifer Sieber Detloff, O.D.

Title

Owner/Optometrist

Phone

(205) 915-8899

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1023412145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 INVERNESS COVE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424549",
            "telephone_number": "205-915-8899",
            "fax_number": "334-774-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9248 PARKWAY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061509",
            "telephone_number": "205-833-3171",
            "fax_number": "205-833-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSD EYECARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "DETLOFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SIEBER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "205-915-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265586473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.