Organization Active NPI

Alabama Sight Conservation Association

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1043688070
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Nov 25, 2016

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161209000809 AL Part B Supplier - Clinic/Group Practice 1951681980 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.