Cherokee Eye Clinic Co, Inc
Organization Active NPI Optometrist · Centre, AL
NPI 1265040273 · NPPES record last updated Jul 15, 2020
Key facts
- NPI
- 1265040273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CHEROKEE EYE CLINIC CO, INC
- Practice address
- 280 W Main St
Centre, AL 35960-1326 - Phone
- (256) 927-4030
- Fax
- (256) 927-2586
- NPI assigned
- Jul 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. James Randall McKissick II, OD
- Title
- Owner
- Phone
- (256) 484-2151
Practitioners 2
-
Samantha Myers, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201118002596 | AL | Part B Supplier - Clinic/Group Practice | 5092126276 |
Receives reassigned benefits from 2 practitioners Practice locations: Centre, AL |
National Provider Directory
Locations
280 W Main St
Centre, AL 35960
Phone (256) 927-4030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
280 W Main St
Centre, AL 35960-1326
Mailing address
280 W Main St
Centre, AL 35960-1326
Phone (256) 927-4030
Other providers in Centre, AL
- Cherokee County Health Dept Pri Care
- Cherokee County Health Dept STD
- Cherokee County Health Dept VFC Immun
- Cherokee County Physicians, LLC
- Cherokee Emergency Medical Services Inc
- Cherokee Eye Clinic, P.C.
- Cherokee Family Healthcare, LLC
- Cherokee Pain Management LLC
- Cherokee Pain Management, LLC
- Clinical Urology Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.