Organization Active NPI

Pamela Kelly Pullen

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
National Provider Identifier
1730351248
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06012756 Issued in AL
Legal business name
PAMELA KELLY PULLEN
Doing business as
SMITH'S OPTICIANS
Practice address
1830 14TH Ave S
Birmingham, AL 35205-4969
Phone
(205) 933-8436
Fax
(205) 933-2221
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mrs. Pamela Kelly Pullen, OPTICIAN
Title
Owner
Phone
(205) 933-8436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06012756 AL Primary

Addresses

Primary practice location

1830 14TH Ave S
Birmingham, AL 35205-4969

Mailing address

1830 14TH Ave S
Birmingham, AL 35205-4969
Phone (205) 933-8436

Other identifiers 1

IdentifierTypeStateIssuer
510-52138OtherALBC/BS

Other names 1

  • SMITH'S OPTICIANS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1730351248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-8436",
            "fax_number": "205-933-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-8436",
            "fax_number": "205-933-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA KELLY PULLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-933-8436",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "06012756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "510-52138",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH'S OPTICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.