Blackerby Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC58TA896 Issued in AL

Legal business name

BLACKERBY EYE CARE, LLC

Practice address

7201 Aaron Aronov Dr
Fairfield, AL 35064-1831

Phone

(205) 923-4377

Fax

(205) 923-4960

NPI assigned

Feb 11, 2013

Last updated

Feb 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnna Leigh Headley Blackerby, O.D.

Title

Optometrist/Owner

Phone

(205) 337-8715

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Johnna Leigh Headley Blackerby, O.D.

  • Optometrist
  • Columbiana, AL
  • NPI 1730475682
  NPD

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1669711651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SHELBY",
            "state": "AL",
            "postal_code": "351430265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 AARON ARONOV DR",
            "city": "FAIRFIELD",
            "state": "AL",
            "postal_code": "350641831",
            "telephone_number": "205-923-4377",
            "fax_number": "205-923-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKERBY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "BLACKERBY",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_middle_name": "LEIGH HEADLEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "205-337-8715",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC58TA896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Family Care, LLC
• Jetaun Bailey
• Kimberly Bell, CRNP
• Stephanie Bennett
• Arrie Lee Bickerstaff
• Craig Borne, DO
• Nicholas Carney
• Changing Directions
• Renee Cherian, DO
• April Childs, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.