Bay Eyes Spectacular, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BAY EYES SPECTACULAR, INC

Practice address

411 N Section St
Fairhope, AL 36532-2649

Phone

(251) 990-9999

Fax

(251) 990-9990

NPI assigned

Mar 29, 2007

Last updated

Jul 21, 2022By 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. Joseph Frank Gravlee Jr., MD

Title

Owner

Phone

(251) 990-9999

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114046026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322649",
            "telephone_number": "251-990-9999",
            "fax_number": "251-990-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322649",
            "telephone_number": "251-990-9999",
            "fax_number": "251-990-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY EYES SPECTACULAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAVLEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-990-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY IDENTIFIER",
            "identifier": "0527980001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-58327",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.