Huntsville Eye Institute North

Primary specialty

OptometristTaxonomy code 152W00000X

License

17262 Issued in AL

Legal business name

HUNTSVILLE EYE INSTITUTE NORTH

Practice address

5161C Moores Mill Rd
Huntsville, AL 35811-1007

Phone

(256) 852-6560

Fax

(256) 852-6501

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Patty Chancelor

Title

President

Phone

(256) 852-6560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1497010979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161C MOORES MILL RD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111007",
            "telephone_number": "256-852-6560",
            "fax_number": "256-852-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161C MOORES MILL RD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111007",
            "telephone_number": "256-852-6560",
            "fax_number": "256-852-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE EYE INSTITUTE NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "CHANCELOR",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-852-6560"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "17262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.