Organization Active NPI

Caalken LLC

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1275294217
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAALKEN LLC
Practice address
9033
Wares Ferry Rd
Montgomery, AL 36117
Phone
(334) 277-7751
Fax
(334) 460-0665
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Mrs. Camtu Ngoc Nguyen, O.D.
Title
Manager
Phone
(334) 322-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9033
Wares Ferry Rd
Montgomery, AL 36117

Mailing address

9033
Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 277-7751

Other identifiers 1

IdentifierTypeStateIssuer
009989345MedicaidAL

National Provider Directory

National Provider Directory

Locations

9033 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 277-7751

6495 Atlanta Hwy
Montgomery, AL 36117
Phone (334) 272-0263

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1275294217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033",
            "address_2": "WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-277-7751",
            "fax_number": "334-460-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033",
            "address_2": "WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-277-7751",
            "fax_number": "334-460-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAALKEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CAMTU",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-322-2713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989345",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.