Active NPI
Dr. Bruce a. Perry OD
- Durable Medical Equipment & Medical Supplies
- Fayette, AL
National Provider Identifier
1114197720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- S449TA072
- Legal business name
- DR. BRUCE A. PERRY OD
- Practice address
- 124 16TH St NE
Fayette, AL 35555-1340 - Phone
- (205) 932-5286
- NPI assigned
- Mar 11, 2008
- Last updated
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce A Perry, O.D.
- Title
- Optometrist /Owner
- Phone
- (205) 932-5286
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | S449TA072 | AL | Primary |
Addresses
Primary practice location
124 16TH St NE
Fayette, AL 35555-1340
Mailing address
124 16TH St NE
Fayette, AL 35555-1340
Phone (205) 932-5286
National Provider Directory
National Provider DirectoryLocations
124 16th St NE
Fayette, AL 35555
Phone (205) 932-5286
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Fayette, AL
- NPI 1801884879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1114197720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 16TH ST NE",
"city": "FAYETTE",
"state": "AL",
"postal_code": "355551340",
"telephone_number": "205-932-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 16TH ST NE",
"city": "FAYETTE",
"state": "AL",
"postal_code": "355551340",
"telephone_number": "205-932-5286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. BRUCE A. PERRY OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST /OWNER",
"authorized_official_telephone_number": "205-932-5286",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "S449TA072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayette, AL
- Charles W. Nolen, Jr., M.D., P.C. (Family Medical Clinic)
- Martha Jo Christian, MD
- Nancy Aliza Claus, CRNP, FNP
- Corbett's Pharmacy LLC (Debbie's Drugs)
- DCH Provider Services, LLC (Fayette Medical Center Hospitalists)
- Dva Healthcare of Tuscaloosa LLC (Fayette Dialysis)
- Encore Rehabilitation, Inc. (Encore Rehab of Fayette)
- Fayette County
- Fayette County Commission
- Fayette County Health Dept Adult Immun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.