NPIMap

Organization Active NPI

Fairhope Eye and Laser Center, LLC

  • Optometrist
  • Fairhope, AL
National Provider Identifier
1245516368
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S844TA357 Issued in AL
Legal business name
FAIRHOPE EYE AND LASER CENTER, LLC
Practice address
7540 Cipriano CT
Suite B
Fairhope, AL 36532-3029
Phone
(251) 928-5828
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Kimberly M Dunagan, OD
Title
Owner
Phone
(251) 928-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S844TA357 AL Primary

Addresses

Primary practice location

7540 Cipriano CT
Suite B
Fairhope, AL 36532-3029

Mailing address

7540 Cipriano CT
Suite B
Fairhope, AL 36532-3029
Phone (251) 928-5828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1245516368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 CIPRIANO CT",
            "address_2": "SUITE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-928-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 CIPRIANO CT",
            "address_2": "SUITE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-928-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE EYE AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S844TA357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.