South Alabama Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-B17-TA-702 Issued in AL

Legal business name

SOUTH ALABAMA EYE CARE, P.C.

Practice address

1892 Andrews Ave
Ozark, AL 36360-3724

Phone

(334) 774-4703

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lauri Frazier Wyatt, O.D.

Title

President

Phone

(334) 774-4703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1053568758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRANKWOOD DR",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506034",
            "telephone_number": "334-873-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 ANDREWS AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603724",
            "telephone_number": "334-774-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "FRAZIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-774-4703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B17-TA-702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latosha Nicole Smith, RBT
• Malcolm Tyvonne Smith, RBT
• Rebecka Smith, MSOT, OTR/L
• Leonard Joseph Smolinski, MS LPC
• Benjamin L Sneed, CRNP
• South Alabama Orthopedics & Sports Medicine, PC
• South Otolaryngology-Head and Neck Surgery, LLC
• Southern Sleep Clinics LLC
• Southland Hospitalist at Ozark, PL
• Southland Medical Solutions of Ozark, PL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.