Organization Active NPI

Jeffrey L McLaughlin OD LLC

  • Optometrist
  • Florence, AL
National Provider Identifier
1447672050
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-689-TA-255 Issued in AL
Legal business name
JEFFREY L MCLAUGHLIN OD LLC
Practice address
2701 Cloverdale Rd
Florence, AL 35633-1402
Phone
(256) 712-6414
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Jeffrey Lee McLaughlin, O.D.NPI 1780669994
Title
Owner
Phone
(256) 394-1059

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-689-TA-255 AL Primary

Addresses

Primary practice location

2701 Cloverdale Rd
Florence, AL 35633-1402

Mailing address

1944 Charlotte CT
Florence, AL 35630-6768
Phone (256) 394-1059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326001355 AL Part B Supplier - Clinic/Group Practice 0749411239 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

2701 Cloverdale Rd
Florence, AL 35633
Phone (256) 712-6412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1447672050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CHARLOTTE CT",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306768",
            "telephone_number": "256-394-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331402",
            "telephone_number": "256-712-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L MCLAUGHLIN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-394-1059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-689-TA-255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.