Organization Active NPI

Eye Health Professionals, Inc

  • Optometrist
  • Pell City, AL
National Provider Identifier
1720397227
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C35-TA-872 Issued in AL
Legal business name
EYE HEALTH PROFESSIONALS, INC
Practice address
165 Vaughan LN
Pell City, AL 35125-7808
Phone
(205) 338-5318
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Rena I. Patel, O.D.NPI 1245548270
Title
President
Phone
(205) 482-1337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-C35-TA-872 AL Primary

Addresses

Primary practice location

165 Vaughan LN
Pell City, AL 35125-7808

Mailing address

160 Polo Downs
Chelsea, AL 35043-7600
Phone (205) 482-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000332 AL Part B Supplier - Clinic/Group Practice 7719150986 Receives reassigned benefits from 1 practitioner
Practice locations: Pell City, AL

National Provider Directory

National Provider Directory

Locations

165 Vaughan Ln
Pell City, AL 35125
Phone (205) 338-5312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1720397227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 POLO DOWNS",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350437600",
            "telephone_number": "205-482-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 VAUGHAN LN",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351257808",
            "telephone_number": "205-338-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-482-1337",
        "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-C35-TA-872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.