NPIMap

Organization Active NPI

Madison Eye Care Center, LLC

  • Optometrist
  • Madison, AL
National Provider Identifier
1649338781
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MADISON EYE CARE CENTER, LLC
Practice address
66 Hughes Rd
Madison, AL 35758-2220
Phone
(256) 461-7100
Fax
(256) 461-7101
NPI assigned
Dec 4, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Michele Chapman Parker, O.D.NPI 1912065186
Title
O.D.,Co-Manager of LLC
Phone
(256) 461-7100

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

66 Hughes Rd
Madison, AL 35758-2220

Mailing address

66 Hughes Rd
Madison, AL 35758-2220
Phone (256) 461-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051021000863 AL Part B Supplier - Clinic/Group Practice 0244256899 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

66 Hughes Rd
Madison, AL 35758
Phone (256) 461-7100

Practitioners & affiliated clinicians

Practitioners 5

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1649338781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582220",
            "telephone_number": "256-461-7100",
            "fax_number": "256-461-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582220",
            "telephone_number": "256-461-7100",
            "fax_number": "256-461-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON EYE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "CHAPMAN",
        "authorized_official_title_or_position": "O.D.,CO-MANAGER OF LLC",
        "authorized_official_telephone_number": "256-461-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.