Active NPI
Dr. John T. Keriotis & Associates, Inc.
- Optometrist
- Vestavia, AL
National Provider Identifier
1689890410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-710-TA-549
- Legal business name
- DR. JOHN T. KERIOTIS & ASSOCIATES, INC.
- Practice address
- 790 Montgomery Hwy
Suite 110
Vestavia, AL 35216-1872 - Phone
- (205) 979-3937
- Fax
- (205) 824-3937
- NPI assigned
- Apr 18, 2007
- Last updated
- Nov 3, 2016
- 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
- Dr. John Keriotis, O.D.
- Title
- President
- Phone
- (205) 586-2786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-710-TA-549 | AL | Primary |
Addresses
Primary practice location
790 Montgomery Hwy
Suite 110
Vestavia, AL 35216-1872
Mailing address
1115 Lake Colony LN
Birmingham, AL 35242-7422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051515567 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
500 Southland Dr
Ste 149
Vestavia, AL 35226
Phone (205) 538-7410
790 Montgomery Hwy
Ste 110
Vestavia Hills, AL 35216
Phone (205) 823-4555
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Birmingham, AL
- NPI 1922159797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478131200000",
"number": "1689890410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 LAKE COLONY LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352427422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 MONTGOMERY HWY",
"address_2": "SUITE 110",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352161872",
"telephone_number": "205-979-3937",
"fax_number": "205-824-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOHN T. KERIOTIS & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2016-11-03",
"status": "A",
"authorized_official_last_name": "KERIOTIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-586-2786",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-710-TA-549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051515567",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.