Organization Active NPI

Eyecare for Life, PC

  • Optometrist
  • Russellville, AL
National Provider Identifier
1659449015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE FOR LIFE, PC
Practice address
15255 Highway 43
2ND FL
Russellville, AL 35653-1924
Phone
(256) 332-5440
Fax
(256) 332-5403
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Stuart M Greenberg, O.D.
Title
President/Owner/Physician
Phone
(256) 332-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AL Primary

Addresses

Primary practice location

15255 Highway 43
2ND FL
Russellville, AL 35653-1924

Mailing address

15255 Hwy 43
2ND FL
Russellville, AL 35653-1925
Phone (256) 332-5440

Other identifiers 4

IdentifierTypeStateIssuer
07608091MedicaidMS
529932110MedicaidAL
894967095AMedicaidGA
1505923MedicaidTN

Other names 1

  • EYECARE FOR LIFE Other name

National Provider Directory

National Provider Directory

Locations

15255 Highway 43
Ste 2
Russellville, AL 35653
Phone 256332544027

315 Field St
Bremen, GA 30110
Phone (770) 537-4482

213 Scenic Hwy
Lawrenceville, GA 30046
Phone (770) 963-5275

574 Highland Colony Pkwy
Ste 320R
Ridgeland, MS 39157
Phone (601) 707-9488

301 S Perimeter Park Dr
Ste 23
Nashville, TN 37211
Phone (615) 781-4238

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659449015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 HWY 43",
            "address_2": "2ND FL",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531925",
            "telephone_number": "256-332-5440",
            "fax_number": "256-332-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 HIGHWAY 43",
            "address_2": "2ND FL",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531924",
            "telephone_number": "256-332-5440",
            "fax_number": "256-332-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR LIFE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-332-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07608091",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932110",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894967095A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505923",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYECARE FOR LIFE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.