NPIMap

Organization Active NPI

Eagle Vision Eye Care, Inc.

  • Optometrist
  • Bessemer, AL
National Provider Identifier
1114086055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S848 Issued in AL
Legal business name
EAGLE VISION EYE CARE, INC.
Practice address
5031 Ford Parkway
Suite 113
Bessemer, AL 35022-5283
Phone
(205) 424-2733
Fax
(205) 424-0274
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raphael D Weeks, O.D.
Title
Owner
Phone
(205) 424-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S848 AL Primary

Addresses

Primary practice location

5031 Ford Parkway
Suite 113
Bessemer, AL 35022-5283

Mailing address

5031 Ford Parkway
Suite 113
Bessemer, AL 35022-5283
Phone (205) 424-2733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114086055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 FORD PARKWAY",
            "address_2": "SUITE 113",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225283",
            "telephone_number": "205-424-2733",
            "fax_number": "205-424-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FORD PARKWAY",
            "address_2": "SUITE 113",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225283",
            "telephone_number": "205-424-2733",
            "fax_number": "205-424-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VISION EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-424-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.