Individual provider Active NPI

Patti Lu Palmer, O.D.

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1366458580
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R157TA743 Issued in AL
Practice address
600 Saint Clair Ave SW
BLDG 6 Suite 14
Huntsville, AL 35801-5008
Phone
(256) 536-4700
Fax
(256) 536-4117
NPI assigned
Jul 31, 2006
Last updated
Mar 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00458000 NJ
Optometrist 152W00000X R157TA743 AL Primary

Addresses

Primary practice location

600 Saint Clair Ave SW
BLDG 6 Suite 14
Huntsville, AL 35801-5008

Mailing address

128 Emory Dr
Harvest, AL 35749-9618
Phone (256) 541-0614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R157TA743ALMDOptometrist
27OA00458000NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1366458580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EMORY DR",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357499618",
            "telephone_number": "256-541-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "BLDG 6 SUITE 14",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-536-4700",
            "fax_number": "256-536-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "PATTI",
        "middle_name": "LU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00458000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R157TA743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.