Individual provider Active NPI

Elna McGowin

  • Optometrist
  • Daphne, AL
National Provider Identifier
1689058919
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD40 Issued in AL
Practice address
27900 N Main St Ste 1
Daphne, AL 36526-7078
Phone
(251) 621-1211
NPI assigned
Jul 16, 2015
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD40 AL Primary

Addresses

Primary practice location

27900 N Main St Ste 1
Daphne, AL 36526-7078

Mailing address

27900N Main St
Daphne, AL 36526-7077
Phone (251) 621-1211

Other names 1

  • Elna Stokes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030000000 AL Practitioner - Optometry 6204146418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Eye Clinic One Hour OpticialGroup PAC ID 8820018435, 4 clinicians

Practice addresses (Care Compare)

27900 N Main St
Suite 1
Daphne, AL 36526-7078
Phone (251) 621-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD40ALMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1689058919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27900N MAIN ST",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267077",
            "telephone_number": "251-621-1211",
            "fax_number": "251-621-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27900 N MAIN ST STE 1",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267078",
            "telephone_number": "251-621-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWIN",
        "first_name": "ELNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SD40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELNA",
            "last_name": "STOKES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.