Active NPI
Susan Grayson
- Optician
- Demopolis, AL
National Provider Identifier
1932271707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 111 W Washington St
Demopolis, AL 36732-2043 - Phone
- (334) 289-4749
- Fax
- (334) 287-2197
- NPI assigned
- Nov 15, 2006
- Last updated
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
111 W Washington St
Demopolis, AL 36732-2043
Mailing address
111 W Washington St
Demopolis, AL 36732-2043
Phone (334) 289-4749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1932271707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322043",
"telephone_number": "334-289-4749",
"fax_number": "334-287-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322043",
"telephone_number": "334-289-4749",
"fax_number": "334-287-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demopolis, AL
- Fitz-Gerald & Perret Clinic
- Jawanza Foster
- Frances Adair Fuller, PT, DPT
- Genesis Rehabilitation, Inc. Dba Fyzical Therapy and Balance Center
- Laura E Glass, CRNP
- Gregory Chad Green, O.D.
- John C Green, D.M.D.
- Gregory Chad Green OD (Green Family Eye Care)
- Hair Designs & Restoration Center LLC
- Kelly McClellan Hall, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.