NPIMap

Organization Active NPI

Rogersville Eye Clinic

  • Optometrist
  • Rogersville, AL
National Provider Identifier
1851434625
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-A64-TA-625 Issued in AL
Legal business name
ROGERSVILLE EYE CLINIC
Practice address
16035 Highway 72
Rogersville, AL 35652-8141
Phone
(256) 247-5252
NPI assigned
Feb 14, 2007
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Chad DavisNPI 1750348868
Title
Doctor
Phone
(256) 233-2393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-A64-TA-625 AL Primary

Addresses

Primary practice location

16035 Highway 72
Rogersville, AL 35652-8141

Mailing address

PO Box 1189
Athens, AL 35612-1189
Phone (256) 233-2393

National Provider Directory

National Provider Directory

Locations

15901 Highway 72
#B
Rogersville, AL 35652
Phone (256) 247-5252

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1851434625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356121189",
            "telephone_number": "256-233-2393",
            "fax_number": "256-233-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-247-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERSVILLE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-233-2393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A64-TA-625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.