Organization Active NPI

Precision Eyecare

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1891931333
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA95TA668 Issued in AL
Legal business name
PRECISION EYECARE
Practice address
7402 Highway 69 S
Suite I
Tuscaloosa, AL 35405-1300
Phone
(205) 752-0320
Fax
(205) 752-0993
NPI assigned
Jan 6, 2009
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Gretchen Luisa Langkawel, O.D.NPI 1306941612
Title
Optometrist/Owner
Phone
(205) 752-0320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SA95TA668 AL Primary

Addresses

Primary practice location

7402 Highway 69 S
Suite I
Tuscaloosa, AL 35405-1300

Mailing address

7402 Highway 69 S
Suite I
Tuscaloosa, AL 35405-1300
Phone (205) 752-0320

Other identifiers 1

IdentifierTypeStateIssuer
123199MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000494 AL Part B Supplier - Clinic/Group Practice 5395800122 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

5121 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 562-8117

7402 Highway 69 S
Ste 1
Tuscaloosa, AL 35405
Phone (205) 752-0320

7402 Highway 69 S
Ste I
Tuscaloosa, AL 35405
Phone (205) 752-0320

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": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1891931333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "address_2": "SUITE I",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-752-0320",
            "fax_number": "205-752-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "address_2": "SUITE I",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-752-0320",
            "fax_number": "205-752-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LANGKAWEL",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "205-752-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA95TA668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123199",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.