Organization Active NPI

McCormick Eye Care, LLC

  • Optometrist
  • Heflin, AL
National Provider Identifier
1255104808
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MCCORMICK EYE CARE, LLC
Practice address
714 Ross St
Heflin, AL 36264-1372
Phone
(256) 591-0533
Fax
(256) 770-4846
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Anna Elizabeth McCormick, O.D.NPI 1003521550
Title
Optometrist/ Owner
Phone
(256) 591-0533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

714 Ross St
Heflin, AL 36264-1372

Mailing address

714 Ross St
Heflin, AL 36264-1372
Phone (256) 591-0533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416000358 AL Part B Supplier - Clinic/Group Practice 6608215280 Receives reassigned benefits from 1 practitioner
Practice locations: Heflin, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1255104808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641372",
            "telephone_number": "256-591-0533",
            "fax_number": "256-770-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641372",
            "telephone_number": "256-591-0533",
            "fax_number": "256-770-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "256-591-0533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heflin, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.