NPIMap

Organization Active NPI

Randall W Hoerth OD PC

  • Optometrist
  • Albertville, AL
National Provider Identifier
1083899405
Registry record updated Mar 3, 2008
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA048 Issued in AL
Legal business name
RANDALL W HOERTH OD PC
Practice address
200 Hambrick Street
Albertville, AL 35950-1624
Phone
(256) 878-3024
Fax
(256) 878-3049
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Randall W Hoerth, OD
Title
Owner Optometrist
Phone
(256) 878-3024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA048 AL Primary

Addresses

Primary practice location

200 Hambrick Street
Albertville, AL 35950-1624

Mailing address

P.O. Box 860
Albertville, AL 35950-1624
Phone (256) 878-3024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1083899405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 860",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501624",
            "telephone_number": "256-878-3024",
            "fax_number": "256-878-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMBRICK STREET",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501624",
            "telephone_number": "256-878-3024",
            "fax_number": "256-878-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W HOERTH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HOERTH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "256-878-3024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "TA048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.