Organization Active NPI

James H. Poole & Associates, O.D., P.C.

  • Optometrist
  • Alexander City, AL
National Provider Identifier
1114067741
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S641-TA-157 Issued in AL
Legal business name
JAMES H. POOLE & ASSOCIATES, O.D., P.C.
Practice address
1120 Airport Dr
Suite 104
Alexander City, AL 35010-3436
Phone
(256) 329-8400
Fax
(256) 329-8200
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. James H. Poole, O.D.NPI 1811979982
Title
Owner
Phone
(256) 329-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X S641-TA-157 AL Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X S641-TA-157 AL
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X S641-TA-157 AL
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X S641-TA-157 AL
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X S641-TA-157 AL
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X S641-TA-157 AL
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X S641-TA-157 AL

Addresses

Primary practice location

1120 Airport Dr
Suite 104
Alexander City, AL 35010-3436

Mailing address

1120 Airport Dr
Suite 104
Alexander City, AL 35010-3436
Phone (256) 329-8400

Other identifiers 1

IdentifierTypeStateIssuer
529906340MedicaidAL

Other names 1

  • Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071114000325 AL Part B Supplier - Clinic/Group Practice 9638267370 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Alexander City, AL; Ashland, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1120 Airport Dr
#104888888888888888888888888888888
Alexander City, AL 35010

Practitioners & affiliated clinicians

Practitioners 2

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1114067741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR",
            "address_2": "SUITE 104",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103436",
            "telephone_number": "256-329-8400",
            "fax_number": "256-329-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR",
            "address_2": "SUITE 104",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103436",
            "telephone_number": "256-329-8400",
            "fax_number": "256-329-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. POOLE & ASSOCIATES, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-329-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "AL",
            "license": "S641-TA-157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529906340",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.