Active NPI
Timothy Kent Pellett, OD
- Optometrist
- Foley, AL
National Provider Identifier
1962562348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S590TA277
- Practice address
- 2200 S McKenzie St
Foley, AL 36535 - Phone
- (251) 943-3369
- Fax
- (251) 943-3267
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | S590TA277 | AL | Primary |
Addresses
Primary practice location
2200 S McKenzie St
Foley, AL 36535
Mailing address
778 Bear Creek Dr
Gulf Shores, AL 36542
Phone (251) 967-2780
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962562348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 BEAR CREEK DR",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "36542",
"telephone_number": "251-967-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "36535",
"telephone_number": "251-943-3369",
"fax_number": "251-943-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETT",
"first_name": "TIMOTHY",
"middle_name": "KENT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S590TA277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.