NPIMap

Organization Active NPI

Phillip Guthery Enterprises Inc

  • Optometrist
  • Cullman, AL
National Provider Identifier
1548433865
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S791 TA327 Issued in AL
Legal business name
PHILLIP GUTHERY ENTERPRISES INC
Practice address
100 7TH St SW Ste B
Cullman, AL 35055-4265
Phone
(256) 775-3937
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Phillip Michael Guthery, OD
Title
President Owner
Phone
(256) 775-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S791 TA327 AL Primary

Addresses

Primary practice location

100 7TH St SW Ste B
Cullman, AL 35055-4265

Mailing address

100 7TH St SW Ste B
Cullman, AL 35055-4265
Phone (256) 775-3937

Other identifiers 1

IdentifierTypeStateIssuer
529909310MedicaidAL

Other names 1

  • family eye care, cullman eye clinic Doing business as

National Provider Directory

National Provider Directory

Locations

100 7th St SW
Ste B
Cullman, AL 35055
Phone (256) 775-3937

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1548433865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH ST SW STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554265",
            "telephone_number": "256-775-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 7TH ST SW STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554265",
            "telephone_number": "256-775-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP GUTHERY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GUTHERY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "256-775-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S791 TA327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909310",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family eye care, cullman eye clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

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

Verify at the official NPI Registry.