NPIMap

Organization Active NPI

Decatur Eye Institute

  • Optometrist
  • Decatur, AL
National Provider Identifier
1598829814
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S813TA107 Issued in AL
Legal business name
DECATUR EYE INSTITUTE
Practice address
2620 Centron Dirve SW
Decatur, AL 35603
Phone
(256) 350-6655
Fax
(256) 350-2548
NPI assigned
Dec 21, 2006
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mrs. Marcie Alexander
Title
Insurance Clerk
Phone
(256) 350-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S813TA107 AL Primary

Addresses

Primary practice location

2620 Centron Dirve SW
Decatur, AL 35603

Mailing address

2620 Centron Dr SW
Decatur, AL 35603-2500
Phone (256) 350-6655

National Provider Directory

National Provider Directory
Tax ID family
Decatur Eye Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1598829814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTRON DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356032500",
            "telephone_number": "256-350-6655",
            "fax_number": "256-350-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTRON DIRVE SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-350-6655",
            "fax_number": "256-350-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "256-350-6655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S813TA107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.