Organization Active NPI

Montgomery Optometric Clinic

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1154497238
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
015498 Issued in AL
Legal business name
MONTGOMERY OPTOMETRIC CLINIC
Practice address
5783 Carmichael Pkwy
Montgomery, AL 36117-2353
Phone
(334) 271-2020
Fax
(334) 271-2042
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. James Noel Chernau, OD
Title
Partner
Phone
(334) 271-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 015498 AL Primary

Addresses

Primary practice location

5783 Carmichael Pkwy
Montgomery, AL 36117-2353

Mailing address

5783 Carmichael Pkwy
Montgomery, AL 36117-2353
Phone (334) 271-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1154497238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 CARMICHAEL PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172353",
            "telephone_number": "334-271-2020",
            "fax_number": "334-271-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 CARMICHAEL PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172353",
            "telephone_number": "334-271-2020",
            "fax_number": "334-271-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY OPTOMETRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "CHERNAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "334-271-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "015498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.