Florence Eye Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S722TA009 Issued in AL

Legal business name

FLORENCE EYE CENTER, INC.

Practice address

21 Hughes Rd
Madison, AL 35758-3039

Phone

(256) 246-2969

Fax

(256) 767-7374

NPI assigned

Sep 8, 2015

Organization subpart

Yes

Parent organization

FLORENCE EYE CENTER, INC.As reported in NPPES

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

Authorized official

Name

Heather Davis

Title

Manager

Phone

(256) 766-3139

Specialties & licenses 1

Addresses

Other names 1

• Specs of Madison Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florence Eye Center, Inc

  • Optometrist
  • Tuscumbia, AL
  • NPI 1093999831

  O20051101000058

  Same enrollment
• Florence Eye Center, Inc.

  • Optometrist
  • Florence, AL
  • NPI 1457414104

  O20051101000058

  Same enrollment
• Florence Eye Center, Inc.

  • Optometrist
  • Florence, AL
  • NPI 1962818948

  O20051101000058

  Same enrollment
• Muscle Shoals Eye Center

  • Optometrist
  • Muscle Shoals, AL
  • NPI 1932462264

  O20051101000058

  Same enrollment

Tax ID family

Florence Eye Center Inc3 organizations share this tax ID, including this one

Part of

Florence Eye Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florence Eye Center, Inc.

  • Optometrist
  • Florence, AL
  • NPI 1962818948
  NPD tax ID
• Muscle Shoals Eye Center

  • Optometrist
  • Muscle Shoals, AL
  • NPI 1932462264
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Florence Eye Center, Inc.

  • Optometrist
  • Florence, AL
  • NPI 1457414104
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marty Chadwick Brewer, O.D.

  • Corneal and Contact Management Optometrist
  • Florence, AL
  • NPI 1508973264
  NPD
• Benjamin Kachelman, O.D.

  • Optometrist
  • Florence, AL
  • NPI 1255442281
  NPD
• Kimberly Dianne Ocampo, O.D.

  • Optometrist
  • Decatur, AL
  • NPI 1598789752
  NPD
• Ashley Wright, OD

  • Optometrist
  • Huntsville, AL
  • NPI 1023785573
  NPD

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1285002352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583039",
            "telephone_number": "256-246-2969",
            "fax_number": "256-767-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583039",
            "telephone_number": "256-246-2969",
            "fax_number": "256-767-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE EYE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORENCE EYE CENTER, INC.",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-766-3139"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S722TA009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specs of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Fields, MSOTR/L
• Zaunklay Finnila, M.D.
• Kelly Fisher, LPC
• Michael Hamilton Fleming, A.A.
• Autumn Chanel Fletcher, DPT
• Kathy Mae Florence, MFTA
• Kandace Whitten Flynn, RPH
• Natalie Risher Fogle, DPT
• Footsteps of Change, Inc.
• Emily Ford

• Optometrist in Madison, AL
• Providers in Madison, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.