Active NPI
Ann B. Chastain, O.D.
- Optometrist
- Athens, AL
National Provider Identifier
1790798213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S624-TA309
- Practice address
- 1011 US Highway 72 E
Athens, AL 35611-4319 - Phone
- (256) 230-2996
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S624-TA309 | AL | Primary |
Addresses
Primary practice location
1011 US Highway 72 E
Athens, AL 35611-4319
Mailing address
501 Line St NE
Decatur, AL 35601-1817
Phone (256) 230-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S624-TA309 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790798213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LINE ST NE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356011817",
"telephone_number": "256-230-2996",
"fax_number": "256-230-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 US HIGHWAY 72 E",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114319",
"telephone_number": "256-230-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "ANN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S624-TA309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
- Maureen Carr, RD
- Jhony Noel Carranza Saravia, CRNP
- Cee, L.L.C
- Central North Alabama Health Services, Inc. (Central Health Care -Athens)
- Central Pediatrics Inc.
- Chiro Clinic LLC
- Chirocare of Athens
- Choice Medical Solutions (Athens Medical Clinic)
- Jennifer Putman Christopher, N.P.
- Casey Ryan Clark, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.