Organization Active NPI

Samuel Hollinsworth MD PC

  • Eyewear Supplier
  • Jasper, AL
National Provider Identifier
1750569737
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SAMUEL HOLLINSWORTH MD PC
Practice address
2545 Highway 78 E
Jasper, AL 35501-3433
Phone
(205) 221-9790
Fax
(205) 221-9982
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Samuel F Hollingsworth, M.D.
Title
Owner
Phone
(205) 221-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2545 Highway 78 E
Jasper, AL 35501-3433

Mailing address

2545 Highway 78 E
Jasper, AL 35501-3433
Phone (205) 221-9790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1750569737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013433",
            "telephone_number": "205-221-9790",
            "fax_number": "205-221-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013433",
            "telephone_number": "205-221-9790",
            "fax_number": "205-221-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL HOLLINSWORTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-221-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.