Organization Active NPI

Hillcrest Optical Inc.

  • Eyewear Supplier
  • Mobile, AL
National Provider Identifier
1659405447
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
008475 Issued in AL
Legal business name
HILLCREST OPTICAL INC.
Practice address
1261 Hillcrest Rd
Suite E
Mobile, AL 36695
Phone
(251) 634-9928
Fax
(251) 634-9957
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mr. Aubrey C. Roberson
Title
Vice President
Phone
(251) 634-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 008475 AL Primary

Addresses

Primary practice location

1261 Hillcrest Rd
Suite E
Mobile, AL 36695

Mailing address

1261 Hillcrest Rd
Suite E
Mobile, AL 36695
Phone (251) 634-9928

Other identifiers 1

IdentifierTypeStateIssuer
51079960OtherALBCBS OF ALABAMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150504001160 AL Part B Supplier - Clinic/Group Practice 4789903394 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1261 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-8880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1659405447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD",
            "address_2": "SUITE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-634-9928",
            "fax_number": "251-634-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD",
            "address_2": "SUITE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-634-9928",
            "fax_number": "251-634-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "251-634-9928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "008475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51079960",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.