Active NPI
Baldwin Eye Clinic One Hour Opticial
- Optometrist
- Daphne, AL
National Provider Identifier
1891967188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1578
- Legal business name
- BALDWIN EYE CLINIC ONE HOUR OPTICIAL
- Practice address
- 27900 N Main St Ste 1
Daphne, AL 36526-7078 - Phone
- (251) 621-1211
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard H Scott, OD
- Title
- Owner
- Phone
- (251) 621-1211
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1578 | AL | Primary |
Addresses
Primary practice location
27900 N Main St Ste 1
Daphne, AL 36526-7078
Mailing address
27900 N Main St Ste 1
Daphne, AL 36526-7078
Phone (251) 621-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051128000809 | AL | Part B Supplier - Clinic/Group Practice | 8820018435 |
Receives reassigned benefits from 5 practitioners Practice locations: Daphne, AL |
National Provider Directory
National Provider DirectoryLocations
27900 N Main St
Daphne, AL 36526
Phone (251) 621-1211
27900 N Main St
Ste 1
Daphne, AL 36526
Phone (251) 621-1211
Interoperability endpoints
- cdorgan@baldwineyeclinic1.eyefinitydirect.com
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Daphne, AL
- NPI 1750677852
-
- Optometrist
- Bay Minette, AL
- NPI 1699890160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1891967188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27900 N MAIN ST STE 1",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267078",
"telephone_number": "251-621-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27900 N MAIN ST STE 1",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267078",
"telephone_number": "251-621-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALDWIN EYE CLINIC ONE HOUR OPTICIAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-621-1211",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AL",
"license": "1578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.