Organization Active NPI

Jill K. Meyer, O.D. P.C.

  • Optometrist
  • Pelham, AL
National Provider Identifier
1710014857
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-576-TA-128 Issued in AL
Legal business name
JILL K. MEYER, O.D. P.C.
Practice address
3429 Pelham Pkwy
Pelham, AL 35124-2009
Phone
(205) 663-3937
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Jill Meyer, O.D.
Title
President
Phone
(205) 663-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-576-TA-128 AL Primary

Addresses

Primary practice location

3429 Pelham Pkwy
Pelham, AL 35124-2009

Mailing address

3429 Pelham Pkwy
Pelham, AL 35124-2009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1710014857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242009",
            "telephone_number": "205-663-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL K. MEYER, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-663-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-576-TA-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.