JSD Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-876-TA-437 Issued in AL

Legal business name

JSD EYECARE

Practice address

340 E Meighan Blvd
Gadsden, AL 35903-1049

Phone

(205) 915-8899

Fax

(256) 543-7789

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer S Detloff, O.D.

Title

Optometrist/ Owner

Phone

(205) 915-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

JSD Eyecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• JSD Eyecare, L.L.C.

  • Optometrist
  • Irondale, AL
  • NPI 1841695764
  NPD tax ID
• JSD Eyecare, LLC

  • Optometrist
  • Springville, AL
  • NPI 1942689898
  NPD tax ID

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1336507748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 INVERNESS COVE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424549",
            "telephone_number": "205-915-8899",
            "fax_number": "256-543-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E MEIGHAN BLVD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031049",
            "telephone_number": "205-915-8899",
            "fax_number": "256-543-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSD EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "DETLOFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "205-915-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-876-TA-437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265586473",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Ted Jones, DMD
• Linda Jean Jones, M.D.
• Nancy K Jones
• Tyler Chadwick Jones
• Joseph a. Walker, D.D.S., P.C.
• David Allan Judge, M.D.
• John A Just, M.D.
• K-VA-T Food Stores Inc (Food City Pharmacy #502)
• K. Clay Ellis, Jr., DMD, LLC
• K. Delton Hartzog, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.