Columbiana Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C58-TA-896 Issued in AL

Legal business name

COLUMBIANA EYE CARE INC

Practice address

22767 Highway 25
Columbiana, AL 35051-3529

Phone

(205) 669-4131

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Johnna Blackerby, OD

Title

Owner

Phone

(205) 337-8715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Johnna Leigh Headley Blackerby, O.D.

  • Optometrist
  • Columbiana, AL
  • NPI 1730475682
  Medicare reassignment NPD
• Toy S Holland, OD

  • Optometrist
  • Alabaster, AL
  • NPI 1831192384
  NPD (past)

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1023446549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22767 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350513529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22767 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350513529",
            "telephone_number": "205-669-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIANA EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BLACKERBY",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-337-8715",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C58-TA-896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Frank Chrencik, D.C
• Ciulla Medical Services LLC
• Anthony Peter Ciulla, M.D.
• Melody Joy Collins, FNP-C
• Columbiana Clinic LLC
• Columbiana Family Dentistry, PC
• Columbiana Health and Rehabilitation, LLC
• David Tyler Cooper, ATC, LAT
• Cornerstone Speech and Language Services
• Jeffrey Scott Davidson, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.