The Eye Site, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

S-C87 Issued in AL

Legal business name

THE EYE SITE, P.C.

Practice address

504 S Mulberry Ave
Butler, AL 36904-2804

Phone

(205) 459-7483

NPI assigned

Aug 2, 2012

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Ommen, ODNPI 1073869251

Title

President

Phone

(205) 459-7483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Ommen, O.D.

  • Optometrist
  • Butler, AL
  • NPI 1073869251
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1104172642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S MULBERRY AVE",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042804",
            "telephone_number": "205-459-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S MULBERRY AVE",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042804",
            "telephone_number": "205-459-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SITE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "OMMEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-459-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "S-C87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Butler, AL
• Providers in Butler, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.