Organization Active NPI

Clark Weeks PC

  • Optometrist
  • Winfield, AL
National Provider Identifier
1194914002
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-745 Issued in AL
Legal business name
CLARK WEEKS PC
Practice address
768 United States Highway 43
Winfield, AL 35594-1290
Phone
(205) 487-2860
Fax
(205) 487-3886
NPI assigned
Oct 16, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mrs. Melany C Weeks
Title
Office Manager
Phone
(205) 487-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-745 AL Primary

Addresses

Primary practice location

768 United States Highway 43
Winfield, AL 35594-1290

Mailing address

PO Box 1290
Winfield, AL 35594-1290
Phone (205) 487-2860

Other identifiers 3

IdentifierTypeStateIssuer
000058326MedicaidAL
510 58326OtherBLUE CROSS BLUE SHIELD
P00056808OtherALPALMETTO - RAILROAD MEDIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000722 AL Part B Supplier - Clinic/Group Practice 7113812025 Receives reassigned benefits from 2 practitioners
Practice locations: Winfield, AL

National Provider Directory

National Provider Directory

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1194914002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355941290",
            "telephone_number": "205-487-2860",
            "fax_number": "205-487-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 UNITED STATES HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355941290",
            "telephone_number": "205-487-2860",
            "fax_number": "205-487-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK WEEKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "MELANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-487-2860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058326",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510 58326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO - RAILROAD MEDIC",
            "identifier": "P00056808",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.