Active NPI
Samuel L. Kirby, O.D.
- Optometrist
- Florence, AL
National Provider Identifier
1699759274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S450
- Practice address
- 174 Ana Dr
Florence, AL 35630-1759 - Phone
- (256) 767-2344
- Fax
- (256) 767-3268
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S450 | AL | Primary |
Addresses
Primary practice location
174 Ana Dr
Florence, AL 35630-1759
Mailing address
174 Ana Dr
Florence, AL 35630-1759
Phone (256) 767-2344
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
| License | State | Type | Specialty |
|---|---|---|---|
| S450 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1699759274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 ANA DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301759",
"telephone_number": "256-767-2344",
"fax_number": "256-767-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 ANA DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301759",
"telephone_number": "256-767-2344",
"fax_number": "256-767-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "SAMUEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.