Organization Active NPI

Richard H Merrill OD

  • Eyewear Supplier
  • Andalusia, AL
National Provider Identifier
1790955607
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
S-361-TA-258 AL Issued in AL
Legal business name
RICHARD H MERRILL OD
Practice address
406 E Three Notch St
Andalusia, AL 36420-3167
Phone
(334) 222-6632
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Richard H Merrill, OD
Title
Owner
Phone
(334) 222-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X S-361-TA-258 AL AL Primary

Addresses

Primary practice location

406 E Three Notch St
Andalusia, AL 36420-3167

Mailing address

PO Box 758
Andalusia, AL 36420-1214
Phone (334) 222-6632

National Provider Directory

National Provider Directory

Locations

406 E Three Notch St
Ste 1
Andalusia, AL 36420

406 E Three Notch St
Andalusia, AL 36420
Phone (334) 222-6477

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790955607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201214",
            "telephone_number": "334-222-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203167",
            "telephone_number": "334-222-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H MERRILL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-222-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "S-361-TA-258 AL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.