Poarch Band of Creek Indians Dba Premier Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE

Practice address

5811 Jack Springs Rd
Atmore, AL 36502-5025

Phone

(251) 446-3937

Fax

(251) 368-0805

NPI assigned

Aug 28, 2006

Organization subpart

No

Name

Ms. Eddie Jackson

Title

Health Administrator

Phone

(251) 368-9136

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

• Ryan C Corte, OD

  • Optometrist
  • Asheville, NC
  • NPI 1336402445
  NPD (past)
• Kimberly Mark Douglas, OD

  • Optometrist
  • Wake Forest, NC
  • NPI 1942533153
  NPD (past)
• Timothy Mack

  • Optometrist
  • Dublin, OH
  • NPI 1225442767
  NPD (past)
• Julie Hutchinson McGinnis, O.D.

  • Optometrist
  • Monroe, NC
  • NPI 1184855561
  NPD (past)
• Matthew Jon McPheron, OD

  • Optometrist
  • Indian Trail, NC
  • NPI 1639878226
  NPD (past)
• Laura Lee Perlaky Young, O.D.

  • Optometrist
  • Indian Trail, NC
  • NPI 1083657639
  NPD (past)

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Poarch Band of Creek Indians

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2017.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1336257575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 JACK SPRINGS RD.",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "36502",
            "telephone_number": "251-446-3937",
            "fax_number": "251-368-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 JACK SPRINGS RD",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365025025",
            "telephone_number": "251-446-3937",
            "fax_number": "251-368-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "251-368-9136",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "529919290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Harrison Petty, P.T.
• Nhu Emily Pham, PHARMD
• Pharmacy Investment Coordinators Inc
• Pharmacy Investment Coordinators Inc
• Poarch Band of Creek Indians
• Poarch Creek Health Clinic Pharmacy
• Emily Ponder, LMSW
• Pulmonary Associates of Mobile, PC
• Gordon Quinn, RPH
• Steven Ramsay, MD

• All providers in Atmore, AL
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.