Oxford Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-540-TA-102 Issued in AL

Legal business name

OXFORD EYE CLINIC

Practice address

333 E Choccolocco St
Oxford, AL 36203-1225

Phone

(256) 831-2040

Fax

(256) 831-2716

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald L Aderholt, O.D.NPI 1568560233

Title

Optometrist/Owner

Phone

(256) 831-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ronald Lynn Aderholt, O.D.

  • Optometrist
  • Oxford, AL
  • NPI 1568560233
  NPD (past) Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1841434826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031225",
            "telephone_number": "256-831-2040",
            "fax_number": "256-831-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031225",
            "telephone_number": "256-831-2040",
            "fax_number": "256-831-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "ADERHOLT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "256-831-2040",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-540-TA-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058323",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orchard Road Counseling and Consulting
• Rick Arlin Otwell, PA-C
• Oxford City
• Oxford Clinic LLC
• Oxford Emergency Medical Services Inc
• Oxford Eye Clinic, LLC
• Oxford Family Dentistry
• Oxford Family Practice, P.C.
• Oxford Orthodontics LLC (Oxford Orthodontics)
• Oxford Pediatric Dental Associates LLC

• Optometrist in Oxford, AL
• Providers in Oxford, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.