Organization Active NPI

Jim Clay Optician

  • Eyewear Supplier
  • Birmingham, AL
National Provider Identifier
1073799789
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
08000003 Issued in AL
Legal business name
JIM CLAY OPTICIAN
Practice address
1705 10TH Avenue South
Birmingham, AL 35205-3607
Phone
(205) 933-8615
Fax
(205) 933-1769
NPI assigned
Jan 11, 2008
Organization subpart
Yes
Parent organization
JIM CLAY OPTICIANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mr. James Norman Clay
Title
Vpres
Phone
(205) 933-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 08000003 AL Primary

Addresses

Primary practice location

1705 10TH Avenue South
Birmingham, AL 35205-3607

Mailing address

4414 Gary Av
Fairfield, AL 35064-1336
Phone (205) 786-0354

National Provider Directory

National Provider Directory
Part of
Jim Clay Opticians

Locations

4414 Gary Ave
Fairfield, AL 35064

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1073799789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 GARY AV",
            "city": "FAIRFIELD",
            "state": "AL",
            "postal_code": "350641336",
            "telephone_number": "205-786-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 10TH AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053607",
            "telephone_number": "205-933-8615",
            "fax_number": "205-933-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM CLAY OPTICIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JIM CLAY OPTICIAN",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "VPRES",
        "authorized_official_telephone_number": "205-933-8615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "08000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 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.