Organization Active NPI

Eye Care Alabama Inc

  • Optometrist
  • Piedmont, AL
National Provider Identifier
1962518803
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S917TA456 Issued in AL
Legal business name
EYE CARE ALABAMA INC
Practice address
801 Memorial Dr
Piedmont, AL 36272-6632
Phone
(256) 447-6413
Fax
(256) 447-6443
NPI assigned
Aug 22, 2006
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. David Duane Mohon, ODNPI 1316910557
Title
President Owner Doctor
Phone
(256) 447-6413

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)CodeLicenseStatePrimary
Optometrist 152W00000X S917TA456 AL Primary

Addresses

Primary practice location

801 Memorial Dr
Piedmont, AL 36272-6632

Mailing address

801 Memorial Dr
Piedmont, AL 36272-6632
Phone (256) 447-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000288 AL Part B Supplier - Clinic/Group Practice 3072511013 Receives reassigned benefits from 2 practitioners
Practice locations: Attalla, AL; Heflin, AL; Piedmont, AL; Roanoke, AL

National Provider Directory

National Provider Directory

Locations

630 Cleveland Ave
Attalla, AL 35954
Phone (256) 305-2017

714 Ross St
Heflin, AL 36264
Phone (256) 568-0815

4521 Highway 431
Roanoke, AL 36274
Phone (334) 863-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1962518803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-447-6413",
            "fax_number": "256-447-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-447-6413",
            "fax_number": "256-447-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MOHON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT OWNER DOCTOR",
        "authorized_official_telephone_number": "256-447-6413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S917TA456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.