Organization Active NPI

Leeds Family Eye Care, Inc

  • Optometrist
  • Leeds, AL
National Provider Identifier
1821157660
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SB13TA698 Issued in AL
Legal business name
LEEDS FAMILY EYE CARE, INC
Practice address
7913 Parkway Dr
Leeds, AL 35094-2126
Phone
(205) 702-4380
Fax
(205) 702-4381
NPI assigned
Dec 7, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Jason Brian Pulliam, O.D.NPI 1164453452
Title
President
Phone
(205) 281-4983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SB13TA698 AL Primary

Addresses

Primary practice location

7913 Parkway Dr
Leeds, AL 35094-2126

Mailing address

PO Box 581
Leeds, AL 35094-0010
Phone (205) 702-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070309000473 AL Part B Supplier - Clinic/Group Practice 4789787888 Receives reassigned benefits from 3 practitioners
Practice locations: Leeds, AL

National Provider Directory

National Provider Directory

Locations

1408 9th St
Leeds, AL 35094
Phone (205) 702-4380

7913 Parkway Dr
Leeds, AL 35094
Phone (205) 702-4380

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1821157660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350940010",
            "telephone_number": "205-702-4380",
            "fax_number": "205-702-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 PARKWAY DR",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350942126",
            "telephone_number": "205-702-4380",
            "fax_number": "205-702-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDS FAMILY EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-281-4983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB13TA698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.