Ferris Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

S677TA182 Issued in AL

Legal business name

FERRIS EYE CLINIC

Practice address

309 19TH St E
Jasper, AL 35501-5413

Phone

(205) 221-2033

Fax

(205) 221-2035

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mark C FerrisNPI 1922102425

Title

President

Phone

(205) 221-2033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Mark C Ferris

  • Optometrist
  • Jasper, AL
  • NPI 1922102425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1285825844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015413",
            "telephone_number": "205-221-2033",
            "fax_number": "205-221-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-221-2033"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S677TA182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle David Farley, PHARM.D.
• Logan Farley
• Gloria Jean Farris, CRNP
• Jasmine Farris, BS
• Fast Pace Medical Clinic PLLC
• Mark C Ferris
• Christian John Fields, PA-C
• Clydia Renee Fisher, B.S.B.S.,MSW
• Five Points Pharmacy & Dollar, LLC
• Katherine Flanagan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.