NPIMap

Organization Active NPI

Selma Family Practice Optometry, Inc.

Doing business as Eyemax Vision Center

  • Optometrist
  • Selma, AL
National Provider Identifier
1871677260
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-435-TA-115 Issued in AL
Legal business name
SELMA FAMILY PRACTICE OPTOMETRY, INC.
Doing business as
Eyemax Vision Center
Practice address
2401 Medical Center Pkwy
Selma, AL 36701-7756
Phone
(334) 872-2321
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Ms. Willie F Smith, MANAGER
Title
Optician
Phone
(334) 872-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-435-TA-115 AL Primary

Addresses

Primary practice location

2401 Medical Center Pkwy
Selma, AL 36701-7756

Mailing address

2401 Medical Center Pkwy
Selma, AL 36701-7756
Phone (334) 872-2321

Other identifiers 3

IdentifierTypeStateIssuer
51095573OtherALBLUE CROSS
000095573MedicaidAL
529904900OtherALGROUP NUMBER

Other names 1

  • EYEMAX VISION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1871677260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-872-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-872-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA FAMILY PRACTICE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "334-872-2321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-435-TA-115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51095573",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095573",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "529904900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEMAX VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2011; 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.