St. Clair Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S970TA531 Issued in AL

Legal business name

ST. CLAIR EYE CARE LLC

Practice address

2824 Moody Pkwy
Moody, AL 35004-3101

Phone

(205) 640-3091

Fax

(205) 640-3092

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shelleigh McVicker Buckingham, O.D.NPI 1164590659

Title

Vice President

Phone

(205) 640-3091

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shelleigh McVicker Buckingham, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1164590659
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1346318912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043101",
            "telephone_number": "205-640-3091",
            "fax_number": "205-640-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043101",
            "telephone_number": "205-640-3091",
            "fax_number": "205-640-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "SHELLEIGH",
        "authorized_official_middle_name": "MCVICKER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-640-3091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S951TA530",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S970TA531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529906420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda H Rush, RPH
• Julie Ghafary Smith, DMD
• Reginald M Smith, MD
• Randall Lamar Spain Jr.
• Specialized Healthcare LLC
• Jennifer Yuki Stacy, PT, DPT
• Starling Consulting LLC
• Ashlei Stephens
• Christian Adams Stevens, DMD
• Phillip Heath Stewart, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.