Organization Active NPI

Preferred Eye Care LLC

  • Optometrist
  • Selma, AL
National Provider Identifier
1831624121
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA24TA601 Issued in AL
Legal business name
PREFERRED EYE CARE LLC
Practice address
406 Dallas Ave
Selma, AL 36701-5746
Phone
(334) 878-2020
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Ashley Rhyne Williams, ODNPI 1760404420
Title
Owner/OD
Phone
(334) 412-8791

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SA24TA601 AL Primary

Addresses

Primary practice location

406 Dallas Ave
Selma, AL 36701-5746

Mailing address

406 Dallas Ave
Selma, AL 36701-5746
Phone (334) 878-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170929002022 AL Part B Supplier - Clinic/Group Practice 6002180916 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Demopolis, AL; Selma, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Preferred Eye Care LLC2 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.

Locations

406 Dallas Ave
Selma, AL 36701
Phone (334) 878-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1831624121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015746",
            "telephone_number": "334-878-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015746",
            "telephone_number": "334-878-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RHYNE",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "334-412-8791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA24TA601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.