Organization Active NPI

JSD Eyecare, LLC

  • Optometrist
  • Springville, AL
National Provider Identifier
1942689898
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JSD EYECARE, LLC
Practice address
160 Springville Sta
Springville, AL 35146-6162
Phone
(205) 915-8899
Fax
(205) 833-3059
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Jennifer Sieber Detloff, O.D.
Title
Optometrist/ Owner
Phone
(205) 915-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

160 Springville Sta
Springville, AL 35146-6162

Mailing address

1556 Inverness Cove LN
Birmingham, AL 35242-4549
Phone (205) 915-8899

Other identifiers 1

IdentifierTypeStateIssuer
1265586473OtherALPERSONAL NPI

National Provider Directory

National Provider Directory
Tax ID family
JSD Eyecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1942689898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 INVERNESS COVE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424549",
            "telephone_number": "205-915-8899",
            "fax_number": "205-833-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SPRINGVILLE STA",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351466162",
            "telephone_number": "205-915-8899",
            "fax_number": "205-833-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSD EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "DETLOFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SIEBER",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "205-915-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1265586473",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.