Perfect Optical Eyecare Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-981-TA-566 Issued in AL

Legal business name

PERFECT OPTICAL EYECARE CENTER LLC

Doing business as

Perfect Optical Eyecare Center

Practice address

6945 University Dr NW
Suite G
Huntsville, AL 35806-1786

Phone

(256) 325-6950

Fax

(256) 585-1019

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dane William Bagley, O.D.NPI 1184620981

Title

Owner and Doctor

Phone

(256) 325-6950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perfect Optical Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dane W Bagley, O.D.

  • Optometrist
  • Huntsville, AL
  • NPI 1184620981
  Medicare reassignment Care Compare group NPD Authorized official
• Theresa Paige Kennedy, O.D.

  • Optometrist
  • Madison, AL
  • NPI 1568571115
  Medicare reassignment Care Compare group NPD
• Karolyn Lane-Hill, OD

  • Optometrist
  • Huntsville, AL
  • NPI 1801466974
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1952558249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 UNIVERSITY DR NW",
            "address_2": "SUITE G",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061786",
            "telephone_number": "256-325-6950",
            "fax_number": "256-585-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 UNIVERSITY DR NW",
            "address_2": "SUITE G",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061786",
            "telephone_number": "256-325-6950",
            "fax_number": "256-585-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT OPTICAL EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER AND DOCTOR",
        "authorized_official_telephone_number": "256-325-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-981-TA-566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926980",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Optical Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Pepper, MA, LPC
• Linnea Pepper, MD
• Jeri Perchinski, OTRL
• Jazmin Perez-Mendoza
• Meredith Perez, CRNP
• Amber R Perkins, HAIR LOSS SPECIALIST
• Jennifer Jeffress Perkins, DDS
• Louis Allen Perkins, MD
• Taylor L Perkins, CRNP
• Valerie Nash Perkins, CRNP

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.