Organization Active NPI

Athens Eye Care Center, P.C.

  • Optometrist
  • Athens, AL
National Provider Identifier
1881781268
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S889TA445 Issued in AL
Legal business name
ATHENS EYE CARE CENTER, P.C.
Practice address
22984 US Highway 72
Athens, AL 35613
Phone
(256) 232-2409
Fax
(256) 232-2402
NPI assigned
Oct 6, 2006
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. L. Leanne Whitaker, O.D.
Title
President/Secretary
Phone
(256) 232-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S889TA445 AL Primary

Addresses

Primary practice location

22984 US Highway 72
Athens, AL 35613

Mailing address

22984 US Highway 72
Athens, AL 35613
Phone (256) 232-2409

Other identifiers 1

IdentifierTypeStateIssuer
529914941MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000393 AL Part B Supplier - Clinic/Group Practice 1153349436 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

22894 US Highway 72
Athens, AL 35613
Phone (256) 232-2409

309 W Market St
Athens, AL 35611
Phone (256) 232-2409

Practitioners & affiliated clinicians

Practitioners 8

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1881781268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22984 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35613",
            "telephone_number": "256-232-2409",
            "fax_number": "256-232-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22984 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35613",
            "telephone_number": "256-232-2409",
            "fax_number": "256-232-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS EYE CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "256-232-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S889TA445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914941",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.