Organization Active NPI

David Olive, OD, PC

  • Optometrist
  • Auburn, AL
National Provider Identifier
1326389768
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-931-TA-494 Issued in AL
Legal business name
DAVID OLIVE, OD, PC
Practice address
1717 S College St
Auburn, AL 36832-5870
Phone
(334) 663-2568
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
David Olive, O.D.
Title
President
Phone
(334) 663-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-931-TA-494 AL Primary

Addresses

Primary practice location

1717 S College St
Auburn, AL 36832-5870

Mailing address

3040 Hamilton Rd
Auburn, AL 36830-7556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1326389768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 HAMILTON RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S COLLEGE ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325870",
            "telephone_number": "334-663-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID OLIVE, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "OLIVE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-663-2568",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-931-TA-494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.