Decatur Eye Institute

Primary specialty

OptometristTaxonomy code 152W00000X

License

04957 Issued in AL

Legal business name

DECATUR EYE INSTITUTE

Practice address

2620 Centron Dr SW
Decatur, AL 35603-2500

Phone

(256) 350-6655

Fax

(256) 350-2548

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcie Alexander

Title

Insurance Clerk

Phone

(256) 350-6655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417095498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTRON DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356032500",
            "telephone_number": "256-350-6655",
            "fax_number": "256-350-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTRON DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356032500",
            "telephone_number": "256-350-6655",
            "fax_number": "256-350-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "256-350-6655"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "04957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Diagnostic Laboratory, Inc.
• Decatur Digestive Diseases PC
• Decatur Emergency Physicians, Inc.
• Decatur EMS
• Decatur ENT Associates P C
• Decatur Eye Institute
• Decatur Eye Institute
• Decatur Eye Insutitute
• Decatur Family Dentistry, PC
• Decatur Family Eye Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.