Organization Active NPI

Clardy Contact Lens Center, Inc.

  • Optometrist
  • Mobile, AL
National Provider Identifier
1407977408
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARDY CONTACT LENS CENTER, INC.
Practice address
3167 Dauphin St
Mobile, AL 36606-4061
Phone
(251) 476-0100
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. John Wendell Clardy, O.D.
Title
Owner
Phone
(251) 476-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3167 Dauphin St
Mobile, AL 36606-4061

Mailing address

3167 Dauphin St
Mobile, AL 36606-4061
Phone (251) 476-0100

National Provider Directory

National Provider Directory

Locations

3167 Dauphin St
Mobile, AL 36606
Phone (251) 476-0100

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1407977408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064061",
            "telephone_number": "251-476-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064061",
            "telephone_number": "251-476-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARDY CONTACT LENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "CLARDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-476-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.