Jessica Palmer, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

SB12TA694 Issued in AL

Legal business name

JESSICA PALMER, O.D., LLC

Doing business as

Sylacauga Eye Clinic

Practice address

6 N Elm Ave
Sylacauga, AL 35150-2426

Phone

(256) 369-2838

Fax

(205) 980-4539

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Palmer

Title

Owner

Phone

(256) 369-2838

Specialties & licenses 1

Addresses

Other names 1

• Sylacauga Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jessica Palmer, O.D., LLC

  • Optometrist
  • Birmingham, AL
  • NPI 1730216805

  O20070709000152

  Same enrollment

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1487197349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350430406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N ELM AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502426",
            "telephone_number": "256-369-2838",
            "fax_number": "205-980-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA PALMER, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-369-2838"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB12TA694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylacauga Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.