Clyde G Echols, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S367TA032 Issued in AL

Practice address

2525 Center Point Pkwy
Birmingham, AL 35215-2548

Phone

(205) 854-6080

Fax

(205) 856-2036

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cechols@direct.eyecare-partners.com

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1649252073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152548",
            "telephone_number": "205-854-6080",
            "fax_number": "205-856-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152548",
            "telephone_number": "205-854-6080",
            "fax_number": "205-856-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "CLYDE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S367TA032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Eberhart, CRNP
• Ebi, LLC
• Ali Joshua Ebrahimi, M.D.
• Nicholas G. Echemendia, MD
• Benjamin Echols, MD
• Kyle Y. Echols, M.D.
• Lyndall Darwin Echols II, D.M.D.
• Seamus Eck, DO
• Angela Lee Eckard, RN
• Madeline Eckenrode, M.D.

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.