Organization Active NPI

Alex Bahl PLLC

  • Optometrist
  • Forest, MS
National Provider Identifier
1457576340
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
757 Issued in MS
Legal business name
ALEX BAHL PLLC
Practice address
1309 Highway 35 S
Forest, MS 39074-5010
Phone
(601) 469-5656
Fax
(601) 469-2958
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Alexandria Arielle Bahl, O.D.
Title
Optometrist
Phone
(205) 529-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 757 MS Primary

Addresses

Primary practice location

1309 Highway 35 S
Forest, MS 39074-5010

Mailing address

222 Eastpark St
Ridgeland, MS 39157

National Provider Directory

National Provider Directory

Locations

6360 Ridgewood Court Dr
Jackson, MS 39211
Phone (479) 273-4000

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1457576340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EASTPARK ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390745010",
            "telephone_number": "601-469-5656",
            "fax_number": "601-469-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX BAHL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "ARIELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "205-529-5007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.