NPIMap

Organization Active NPI

Pathway Eye Athens

  • Optometrist
  • Athens, AL
National Provider Identifier
1205009750
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S993TA554 Issued in AL
Legal business name
PATHWAY EYE ATHENS
Practice address
110 College St
Suite B
Athens, AL 35611-2714
Phone
(256) 233-2393
NPI assigned
Apr 4, 2008
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Kelley KottNPI 1265831002
Title
RCM Manager
Phone
(256) 795-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S993TA554 AL Primary

Addresses

Primary practice location

110 College St
Suite B
Athens, AL 35611-2714

Mailing address

110 College St Ste E
Athens, AL 35611-2714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1205009750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714",
            "telephone_number": "256-233-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY EYE ATHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "256-795-2559"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S993TA554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.