Active NPI
David N. Welborn, OD
- Optometrist
- Montgomery, AL
National Provider Identifier
1548415698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S626TA180
- Legal business name
- DAVID N. WELBORN, OD
- Practice address
- 262 Mitylene Park Dr
Montgomery, AL 36117-3548 - Phone
- (334) 260-8511
- Fax
- (334) 260-8755
- NPI assigned
- Nov 17, 2008
- Last updated
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Paulk
- Title
- Administrator
- Phone
- (334) 260-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S626TA180 | AL | Primary |
Addresses
Primary practice location
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Mailing address
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 260-8511
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Alexander City, AL
- NPI 1598747339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1548415698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 MITYLENE PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173548",
"telephone_number": "334-260-8511",
"fax_number": "334-260-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 MITYLENE PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173548",
"telephone_number": "334-260-8511",
"fax_number": "334-260-8755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID N. WELBORN, OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "PAULK",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "334-260-8511",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AL",
"license": "S626TA180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.