NPIMap

Organization Active NPI

Calera Vision Center, LLC

  • Optometrist
  • Calera, AL
National Provider Identifier
1437486107
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-779-TA-718 Issued in AL
Legal business name
CALERA VISION CENTER, LLC
Practice address
300 Airport Commons Drive
Suite 304
Calera, AL 35040-0001
Phone
(205) 621-6061
Fax
(205) 621-6064
NPI assigned
Nov 17, 2009
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Kendall Clark Mullins, O,D,NPI 1144364043
Title
Owner/Optometrist
Phone
(205) 585-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-779-TA-718 AL Primary

Addresses

Primary practice location

300 Airport Commons Drive
Suite 304
Calera, AL 35040-0001

Mailing address

300 Airport Commons Drive
Suite 304
Calera, AL 35040
Phone (205) 621-6061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1437486107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AIRPORT COMMONS DRIVE",
            "address_2": "SUITE 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "35040",
            "telephone_number": "205-621-6061",
            "fax_number": "205-621-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AIRPORT COMMONS DRIVE",
            "address_2": "SUITE 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400001",
            "telephone_number": "205-621-6061",
            "fax_number": "205-621-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALERA VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "205-585-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O,D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-779-TA-718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.