Organization Active NPI

Bailey Cove Eye Care, P.C.

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1144414467
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S984TA557 Issued in AL
Legal business name
BAILEY COVE EYE CARE, P.C.
Practice address
1411 Weatherly PLZ
Huntsville, AL 35803-2617
Phone
(256) 880-3200
Fax
(256) 880-1396
NPI assigned
Aug 29, 2007
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. James Ashley Ferrell, O.D.NPI 1689673469
Title
Optometrist/Owner
Phone
(256) 880-3200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S984TA557 AL Primary

Addresses

Primary practice location

1411 Weatherly PLZ
Huntsville, AL 35803-2617

Mailing address

1411 Weatherly PLZ
Huntsville, AL 35803-2617
Phone (256) 880-3200

Other identifiers 7

IdentifierTypeStateIssuer
14781OtherSPECTERA
529909580MedicaidAL
051550977MedicaidAL
U86651OtherUPIN
23504OtherAVESIS
51505724OtherALBLUE CROSS BLUE SHIELD
7459289OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105000701 AL Part B Supplier - Clinic/Group Practice 7315151529 Receives reassigned benefits from 2 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

1411 Weatherly Plz SE
Huntsville, AL 35803
Phone (256) 880-3200

Practitioners & affiliated clinicians

Practitioners 3

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1144414467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WEATHERLY PLZ",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032617",
            "telephone_number": "256-880-3200",
            "fax_number": "256-880-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WEATHERLY PLZ",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032617",
            "telephone_number": "256-880-3200",
            "fax_number": "256-880-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY COVE EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "256-880-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S984TA557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909580",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550977",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U86651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "23504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51505724",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7459289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.