NPIMap

Organization Active NPI

Genesis One Eye Care Inc.

  • Health Service Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1730453473
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
S477-TA338 Issued in AL
Legal business name
GENESIS ONE EYE CARE INC.
Practice address
1401 Skyland Blvd E
In Sams Club Optical
Tuscaloosa, AL 35405-4229
Phone
(205) 345-3893
Fax
(205) 345-3896
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Colleen Dent, O.D.
Title
President
Phone
(205) 344-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X S477-TA338 AL Primary

Addresses

Primary practice location

1401 Skyland Blvd E
In Sams Club Optical
Tuscaloosa, AL 35405-4229

Mailing address

PO Box 70175
Tuscaloosa, AL 35407-0175
Phone (205) 344-2361

National Provider Directory

National Provider Directory
Tax ID family
Genesis One Eye Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1730453473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70175",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354070175",
            "telephone_number": "205-344-2361",
            "fax_number": "205-759-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SKYLAND BLVD E",
            "address_2": "IN SAMS CLUB OPTICAL",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054229",
            "telephone_number": "205-345-3893",
            "fax_number": "205-345-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ONE EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-344-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "S477-TA338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.