Active NPI
Hillcrest Optical Inc.
- Eyewear Supplier
- Mobile, AL
National Provider Identifier
1659405447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 008475
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51079960 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Mobile, AL
- NPI 1417148156
-
- Optometrist
- Mobile, AL
- NPI 1508096512
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.