Individual provider Active NPI

Alison Marie Kailer, O.D.

  • Optometrist
  • Robertsdale, AL
National Provider Identifier
1699755470
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-247-TA-A35 Issued in AL
Practice address
21141 State Highway 59
Robertsdale, AL 36567-6740
Phone
(251) 947-4403
NPI assigned
Jan 18, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005019954 MO
Optometrist 152W00000X R-247-TA-A35 AL Primary

Addresses

Primary practice location

21141 State Highway 59
Robertsdale, AL 36567-6740

Mailing address

573 Batten Blvd
Pensacola, FL 32507-8662
Phone (850) 619-4875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-247-TA-A35ALMDOptometrist
2005019954MOMDOptometrist
13465CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1699755470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 BATTEN BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078662",
            "telephone_number": "850-619-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 STATE HIGHWAY 59",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676740",
            "telephone_number": "251-947-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILER",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005019954",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-247-TA-A35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.