NPIMap

Organization Active NPI

Eagle Vision Optometry

  • Optometrist
  • Bessemer, AL
National Provider Identifier
1134309453
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-A12-TA-586 Issued in AL
Legal business name
EAGLE VISION OPTOMETRY
Practice address
5031 Ford Pkwy
Suite 113
Bessemer, AL 35022-5283
Phone
(205) 424-2733
NPI assigned
Nov 5, 2007
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Jeremy L Burns, O.D.NPI 1023106457
Title
Owner
Phone
(205) 424-2733

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)CodeLicenseStatePrimary
Optometrist 152W00000X S-A12-TA-586 AL Primary

Addresses

Primary practice location

5031 Ford Pkwy
Suite 113
Bessemer, AL 35022-5283

Mailing address

5031 Ford Pkwy
Suite 113
Bessemer, AL 35022-5283

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1134309453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 FORD PKWY",
            "address_2": "SUITE 113",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FORD PKWY",
            "address_2": "SUITE 113",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225283",
            "telephone_number": "205-424-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VISION OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "L",
        "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": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A12-TA-586",
            "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 Nov 15, 2013; 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.