Organization Active NPI

Optics of Life Limited Liability Company

  • Optician
  • Foley, AL
National Provider Identifier
1447768221
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OPTICS OF LIFE LIMITED LIABILITY COMPANY
Practice address
310 E Laurel Ave
Foley, AL 36535-2618
Phone
(251) 943-1758
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Steven Bohm
Title
Sole Owner
Phone
(443) 676-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

310 E Laurel Ave
Foley, AL 36535-2618

Mailing address

310 E Laurel Ave
Foley, AL 36535-2618
Phone (251) 943-1758

Other names 1

  • Baldwin Optical and Hearing Aid Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424002422 AL Part B Supplier - Clinic/Group Practice 4284976184 Receives reassigned benefits from 1 practitioner
Practice locations: Foley, AL

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.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1447768221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352618",
            "telephone_number": "251-943-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352618",
            "telephone_number": "251-943-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS OF LIFE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "BOHM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "443-676-1131"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Optical and Hearing Aid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.