NPIMap

Organization Active NPI

Premier Health Management, Inc.

Doing business as Premier Optical Daphne

  • Eyewear Supplier
  • Daphne, AL
National Provider Identifier
1437406121
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PREMIER HEALTH MANAGEMENT, INC.
Doing business as
Premier Optical Daphne
Practice address
7101 US Highway 90
Suite 204
Daphne, AL 36526-9517
Phone
(251) 410-9000
Fax
(251) 410-9200
NPI assigned
Aug 13, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
James W Hartman III
Title
Ceo
Phone
(251) 473-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

7101 US Highway 90
Suite 204
Daphne, AL 36526-9517

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other names 1

  • Premier Optical Daphne Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000205 AL DME Supplier - Physician - Ophthalmology 6608869342 Practice locations: Daphne, AL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Health MGT Inc6 organizations share this tax ID, including this one
Part of
Premier Health MGT Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7101 US Highway 90
Ste 204
Daphne, AL 36526
Phone (251) 410-9000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1437406121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90",
            "address_2": "SUITE 204",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269517",
            "telephone_number": "251-410-9000",
            "fax_number": "251-410-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH MANAGEMENT, INC.",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-473-1900",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Optical Daphne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.