Organization Active NPI

Cullman Eye Specialists, P.C.

  • Optometrist
  • Cullman, AL
National Provider Identifier
1407957368
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-A13-TA-594 Issued in AL
Legal business name
CULLMAN EYE SPECIALISTS, P.C.
Practice address
601 Graham Street SW
Suite B
Cullman, AL 35055-5298
Phone
(256) 734-8514
Fax
(256) 734-8392
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Dr. Emily Che' Flores, O.D.
Title
President
Phone
(256) 734-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-A13-TA-594 AL Primary

Addresses

Primary practice location

601 Graham Street SW
Suite B
Cullman, AL 35055-5298

Mailing address

601 Graham Street SW
Suite B
Cullman, AL 35055-5298
Phone (256) 734-8514

Other identifiers 1

IdentifierTypeStateIssuer
529927530MedicaidAL

National Provider Directory

National Provider Directory

Locations

601 Graham St SW
#B
Cullman, AL 35055
Phone (256) 734-8514

601A Graham St SW
Cullman, AL 35055
Phone (256) 734-8514

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1407957368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRAHAM STREET SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555298",
            "telephone_number": "256-734-8514",
            "fax_number": "256-734-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRAHAM STREET SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555298",
            "telephone_number": "256-734-8514",
            "fax_number": "256-734-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN EYE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "CHE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-734-8514",
        "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-A13-TA-594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529927530",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.