JSD Eyecare, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JSD EYECARE, L.L.C.

Practice address

1600 Montclair Rd
Irondale, AL 35210-2410

Phone

(205) 951-3268

Fax

(205) 833-3059

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By 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

Dr. Jennifer Detloff, O.D.

Title

Optometrist

Phone

(205) 915-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

JSD Eyecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• JSD Eyecare

  • Optometrist
  • Gadsden, AL
  • NPI 1336507748
  NPD tax ID
• JSD Eyecare, LLC

  • Optometrist
  • Springville, AL
  • NPI 1942689898
  NPD tax ID

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1841695764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 INVERNESS COVE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424549",
            "telephone_number": "205-915-8899",
            "fax_number": "205-833-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102410",
            "telephone_number": "205-951-3268",
            "fax_number": "205-833-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSD EYECARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "DETLOFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "205-915-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAAL NPI",
            "identifier": "1265586473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Leigh Jackson, L.P.C.
• James Johnson
• De'Andrea Jones
• Deondra Jones
• Jaclyn Jones
• Kci USA, Inc. (Solventum Advanced Wound Care)
• Lindsay Keen, CRNP
• James Andrew Kennedy, PTA
• Jenna Kilgore, PHD
• Brittney Kindall, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.