Organization Active NPI

Bay Eyes Spectacular Inc.

  • Optician
  • Foley, AL
National Provider Identifier
1376738203
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BAY EYES SPECTACULAR INC.
Practice address
1624 N McKenzie St
Foley, AL 36535-2248
Phone
(251) 943-3937
NPI assigned
Sep 13, 2007
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Mr. Joseph F Gravlee Jr., M.D.
Title
Opthamologist
Phone
(251) 943-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

1624 N McKenzie St
Foley, AL 36535-2248

Mailing address

1624 N McKenzie St
Foley, AL 36535-2248
Phone (251) 943-3937

Other identifiers 2

IdentifierTypeStateIssuer
0527980002OtherALMEDICARE LEGACY INDENTIFIER
510-58327OtherALBLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1376738203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-943-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-943-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY EYES SPECTACULAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "GRAVLEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTHAMOLOGIST",
        "authorized_official_telephone_number": "251-943-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY INDENTIFIER",
            "identifier": "0527980002",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "510-58327",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.