Organization Active NPI

Genesis One Eye Care, Inc.

  • Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1578811964
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S477-TA338 Issued in AL
Legal business name
GENESIS ONE EYE CARE, INC.
Practice address
2231 1St Ave
Suite B
Tuscaloosa, AL 35401-5008
Phone
(205) 722-2437
Fax
(205) 331-4653
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Colleen Dent, O.D.
Title
President
Phone
(205) 344-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X S477-TA338 AL Primary

Addresses

Primary practice location

2231 1St Ave
Suite B
Tuscaloosa, AL 35401-5008

Mailing address

PO Box 70175
Tuscaloosa, AL 35407-0175
Phone (205) 344-2361

National Provider Directory

National Provider Directory
Tax ID family
Genesis One Eye Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2231 1st Ave
#B
Tuscaloosa, AL 35401
Phone (205) 722-2437

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1578811964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70175",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354070175",
            "telephone_number": "205-344-2361",
            "fax_number": "205-759-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 1ST AVE",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015008",
            "telephone_number": "205-722-2437",
            "fax_number": "205-331-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ONE EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-344-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "S477-TA338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

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