Active NPI
Doris Ann Appleby, OD
- Optometrist
- Montgomery, AL
National Provider Identifier
1215918925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S385TA280
- Practice address
- 5783 Carmichael Pkwy
Montgomery Optometric Clinic, PA
Montgomery, AL 36117-2353 - Phone
- (334) 271-2020
- Fax
- (334) 271-2042
- NPI assigned
- Nov 9, 2005
- Last updated
- May 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S385TA280 | AL | Primary |
Addresses
Primary practice location
5783 Carmichael Pkwy
Montgomery Optometric Clinic, PA
Montgomery, AL 36117-2353
Mailing address
5783 Carmichael Pkwy
Montgomery, AL 36117-2353
Phone (334) 271-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000059453 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Optometric Clinic | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Montgomery, AL
- NPI 1154497238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1215918925",
"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",
"address_2": "MONTGOMERY OPTOMETRIC CLINIC, PA",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172353",
"telephone_number": "334-271-2020",
"fax_number": "334-271-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEBY",
"first_name": "DORIS",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S385TA280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000059453",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- Holli M Anthony, RPH
- John Lee Anthony, M.D.
- Mymoon Antony, MD
- Ayesha Anwer, MD
- Apothecary Shack LLC (Apothecary Shack Home Health)
- Laurie Applegate, RPT
- Arabella Health & Wellness of Montgomery Opco LLC (Arabella Health & Wellness of Montgomery)
- Azeline Faye B Arcenal, MD
- Cela Quinise Ardis, LPC
- Landon Etheridge Argo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.