Organization Active NPI

Jill K Meyer, O.D., P.C.

  • Optometrist
  • Cullman, AL
National Provider Identifier
1134318470
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S576TA128 Issued in AL
Legal business name
JILL K MEYER, O.D., P.C.
Practice address
1400 Wall St
Cullman, AL 35055-6011
Phone
(256) 737-9109
Fax
(256) 737-9110
NPI assigned
Oct 23, 2007
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Ms. Jill K Meyer, OD
Title
Owner/President
Phone
(256) 737-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S576TA128 AL Primary

Addresses

Primary practice location

1400 Wall St
Cullman, AL 35055-6011

Mailing address

1400 Wall St
Cullman, AL 35055-6011
Phone (256) 737-9109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1134318470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALL ST",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350556011",
            "telephone_number": "256-737-9109",
            "fax_number": "256-737-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WALL ST",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350556011",
            "telephone_number": "256-737-9109",
            "fax_number": "256-737-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL K MEYER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "256-737-9109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S576TA128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.