NPIMap

Organization Active NPI

DRS. Coulter, McRoy & Associates PC

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1164434536
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-847-TA-353 Issued in AL
Legal business name
DRS. COULTER, MCROY & ASSOCIATES PC
Practice address
8200 Whitesburg Drive South
Huntsville, AL 35802
Phone
(256) 880-8058
Fax
(256) 880-1277
NPI assigned
Aug 13, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mona McRoy Vines, CPO
Title
Office Comptroller
Phone
(256) 880-8058

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-595-TA-298 AL
Optometrist 152W00000X R151TA719 AL
Optometrist 152W00000X S595 TA 298 AL
Optometrist 152W00000X S-847-TA-353 AL Primary

Addresses

Primary practice location

8200 Whitesburg Drive South
Huntsville, AL 35802

Mailing address

8200 Whitesburg Drive South
Huntsville, AL 35802
Phone (256) 880-8058

Other identifiers 1

IdentifierTypeStateIssuer
529603830MedicaidAL

National Provider Directory

National Provider Directory

Locations

8200 Whitesburg Dr SW
Huntsville, AL 35802
Phone (256) 800-8058

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1164434536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WHITESBURG DRIVE SOUTH",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35802",
            "telephone_number": "256-880-8058",
            "fax_number": "256-880-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WHITESBURG DRIVE SOUTH",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35802",
            "telephone_number": "256-880-8058",
            "fax_number": "256-880-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. COULTER, MCROY & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "MCROY",
        "authorized_official_title_or_position": "OFFICE COMPTROLLER",
        "authorized_official_telephone_number": "256-880-8058",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-595-TA-298",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R151TA719",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S595 TA 298",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-847-TA-353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529603830",
            "state": "AL"
        }
    ],
    "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 Jul 21, 2010; 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.