Organization Active NPI

Primary Eyecare Center LLC

  • Optometrist
  • Selma, AL
National Provider Identifier
1427349406
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC32TA854 Issued in AL
Legal business name
PRIMARY EYECARE CENTER LLC
Practice address
2401 Medical Center Pkwy.
Selma, AL 36701-7756
Phone
(334) 874-7024
Fax
(334) 874-7372
NPI assigned
Apr 26, 2011
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Kristina Lovinggood, ODNPI 1619298049
Title
Authorized Official/President/OD
Phone
(334) 874-7024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC32TA854 AL Primary

Addresses

Primary practice location

2401 Medical Center Pkwy.
Selma, AL 36701-7756

Mailing address

2401 Medical Center Pkwy.
Selma, AL 36701-7756
Phone (334) 874-7024

Other identifiers 1

IdentifierTypeStateIssuer
128417MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110603000261 AL Part B Supplier - Clinic/Group Practice 3072790872 Receives reassigned benefits from 2 practitioners
Practice locations: Selma, AL

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1427349406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MEDICAL CENTER PKWY.",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-874-7024",
            "fax_number": "334-874-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MEDICAL CENTER PKWY.",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-874-7024",
            "fax_number": "334-874-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "LOVINGGOOD",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PRESIDENT/OD",
        "authorized_official_telephone_number": "334-874-7024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC32TA854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128417",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.