NPIMap

Organization Active NPI

Selma Eye Associates, Inc

  • Optometrist
  • Selma, AL
National Provider Identifier
1730124850
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R119TA114 Issued in AL
Legal business name
SELMA EYE ASSOCIATES, INC
Practice address
700 Dallas Ave
Selma, AL 36701-5451
Phone
(334) 872-6296
Fax
(334) 872-5000
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Maurice Jose Lyn, OD
Title
President
Phone
(334) 872-6296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X R119TA114 AL Primary

Addresses

Primary practice location

700 Dallas Ave
Selma, AL 36701-5451

Mailing address

PO Box 1245
Selma, AL 36702-1245
Phone (334) 872-6296

National Provider Directory

National Provider Directory

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1730124850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367021245",
            "telephone_number": "334-872-6296",
            "fax_number": "334-872-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015451",
            "telephone_number": "334-872-6296",
            "fax_number": "334-872-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA EYE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-872-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R119TA114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.