Safety Source Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SAFETY SOURCE INC.

Practice address

5865 Rangeline Rd
Theodore, AL 36582-5207

Phone

(251) 443-7445

Fax

(251) 443-8090

NPI assigned

Dec 8, 2006

Organization subpart

No

Name

Mr. Keith Skipworth

Title

President

Phone

(251) 443-7445

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598825945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190637",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366190637",
            "telephone_number": "251-443-7445",
            "fax_number": "251-443-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RANGELINE RD",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365825207",
            "telephone_number": "251-443-7445",
            "fax_number": "251-443-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY SOURCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKIPWORTH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-443-7445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Theodore, AL
• Optician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.