NPIMap

Organization Active NPI

T Jefferson Hicks OD PC

  • Optometrist
  • Saraland, AL
National Provider Identifier
1710025721
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S340TA047 Issued in AL
Legal business name
T JEFFERSON HICKS OD PC
Practice address
1127 Highway 43 S
Saraland, AL 36571-3720
Phone
(251) 675-2718
NPI assigned
Feb 2, 2007
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Thomas J Hicks, ODNPI 1740292713
Title
Optometrist
Phone
(251) 675-2718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S340TA047 AL Primary

Addresses

Primary practice location

1127 Highway 43 S
Saraland, AL 36571-3720

Mailing address

PO Box 687
Saraland, AL 36571-0687
Phone (251) 675-2718

National Provider Directory

National Provider Directory

Locations

1127 Saraland Blvd S
Saraland, AL 36571
Phone (251) 675-2718

1131 Saraland Blvd S
Saraland, AL 36571
Phone (251) 675-2718

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1710025721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365710687",
            "telephone_number": "251-675-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 HIGHWAY 43 S",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713720",
            "telephone_number": "251-675-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T JEFFERSON HICKS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "251-675-2718",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S340TA047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.