NPIMap

Organization Active NPI

Cargus Eyecare Inc

  • Optometrist
  • McCalla, AL
National Provider Identifier
1619044948
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S882TA441 Issued in AL
Legal business name
CARGUS EYECARE INC
Practice address
4760 Eastern Valley Rd
Suite 132
MC Calla, AL 35111-3456
Phone
(205) 477-0229
NPI assigned
Nov 30, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Jessetta Cargus, O.D.NPI 1710997192
Title
Optometrist Owner
Phone
(205) 477-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S882TA441 AL Primary

Addresses

Primary practice location

4760 Eastern Valley Rd
Suite 132
MC Calla, AL 35111-3456

Mailing address

4760 Eastern Valley Rd
Suite 132
MC Calla, AL 35111-3456
Phone (205) 477-0229

National Provider Directory

National Provider Directory

Locations

4760 Eastern Valley Rd
Ste 132
Mc Calla, AL 35111
Phone (205) 477-0229

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1619044948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 EASTERN VALLEY RD",
            "address_2": "SUITE 132",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113456",
            "telephone_number": "205-477-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 EASTERN VALLEY RD",
            "address_2": "SUITE 132",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113456",
            "telephone_number": "205-477-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARGUS EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CARGUS",
        "authorized_official_first_name": "JESSETTA",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "205-477-0229",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S882TA441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCalla, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.