Active NPI
Alabama Sight Conservation Association
- Optometrist
- Birmingham, AL
National Provider Identifier
1043688070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ALABAMA SIGHT CONSERVATION ASSOCIATION
- Practice address
- 700 18TH St S
Birmingham, AL 35233-1856 - Phone
- (205) 325-8519
- Fax
- (205) 933-9215
- NPI assigned
- Sep 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Durden Dean
- Title
- Executive Director
- Phone
- (205) 325-8519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
700 18TH St S
Birmingham, AL 35233-1856
Mailing address
700 18TH St S
Birmingham, AL 35233-1856
Phone (205) 325-8519
Other names 1
- Alabama Lions Sight Convervation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161209000809 | AL | Part B Supplier - Clinic/Group Practice | 1951681980 |
Receives reassigned benefits from 2 practitioners Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
700 18th St S
Ste DB110
Birmingham, AL 35233
Phone (205) 325-8519
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480032000000",
"number": "1043688070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 18TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331856",
"telephone_number": "205-325-8519",
"fax_number": "205-933-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 18TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331856",
"telephone_number": "205-325-8519",
"fax_number": "205-933-9215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA SIGHT CONSERVATION ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2016-11-25",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DURDEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "205-325-8519",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alabama Lions Sight Convervation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.