Andrea D Sims OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5618TA131 Issued in AL

Legal business name

ANDREA D SIMS OD PC

Practice address

1320 Highway 78 E
Jasper, AL 35501-3965

Phone

(205) 221-3937

Fax

(205) 221-4417

NPI assigned

Mar 4, 2008

Last updated

Jun 25, 2008By 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

Dr. Andrea D Sims, ODNPI 1750447017

Title

Owner President Doctor

Phone

(205) 221-3937

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Andrea Dee Sims, O.D.

  • Optometrist
  • Jasper, AL
  • NPI 1750447017
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1689844805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013965",
            "telephone_number": "205-221-3937",
            "fax_number": "205-221-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013965",
            "telephone_number": "205-221-3937",
            "fax_number": "205-221-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA D SIMS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "205-221-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "5618TA131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058369",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Mallicote Allen, M.S., CCC-A
• Oscar Domingo Almeida Jr., M.D.
• Marcos Almonte Sencion, MD
• Linda Alvis, CRNP
• Amedisys Home Health of Alabama, LLC (Adoration Home Health)
• Andrew Development Company, Inc. (Community Medical Systems)
• Ansley P Allen DMD LLC
• Applegate Health Services, Inc. (AppleGate Recovery Jasper)
• Robert Allin Armstrong, CRNA
• Thomas Lee Arnold Jr., MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.