Uab Grads LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

UAB GRADS LLC

Practice address

770 US Highway 331 S Ste 1
Defuniak Springs, FL 32435-3307

Phone

(850) 892-5514

Fax

(850) 892-0189

NPI assigned

Nov 23, 2022

Organization subpart

No

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

Authorized official

Name

Katie Spear, OD

Title

Owner

Phone

(850) 542-5133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1952010423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024838",
            "telephone_number": "850-542-5133",
            "fax_number": "850-290-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 US HIGHWAY 331 S STE 1",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353307",
            "telephone_number": "850-892-5514",
            "fax_number": "850-892-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAB GRADS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-542-5133",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ellen Tomlinson, OD
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• Julie Tran
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• Arielle Turner
• Mallikarjuna B Urmundalavaur, MD
• Arjen L Van de Voorde, DDS
• Jazmine Vo
• Dale A Volquartsen, MD
• Vop Stanely House, LLC (Sodalis Defuniak Springs)

• Optometrist in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.