Organization Active NPI

Chilton County Optical Inc

  • Optician
  • Clanton, AL
National Provider Identifier
1962694018
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
CHILTON COUNTY OPTICAL INC
Practice address
700 7TH St S
Clanton, AL 35045
Phone
(205) 280-0064
Fax
(205) 280-0030
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Mr. Cecil D PaveyNPI 1568564169
Title
President Owner
Phone
(205) 280-0064

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
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

700 7TH St S
Clanton, AL 35045

Mailing address

PO Box 346
Clanton, AL 35046
Phone (205) 280-0064

Other identifiers 3

IdentifierTypeStateIssuer
51500749OtherALBLUE CROSS
924787OtherALBLOCK VISION
009954170MedicaidAL

National Provider Directory

National Provider Directory

Locations

700 7th St S
Clanton, AL 35045
Phone (205) 280-0034

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1962694018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35046",
            "telephone_number": "205-280-0064",
            "fax_number": "205-280-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 7TH ST S",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35045",
            "telephone_number": "205-280-0064",
            "fax_number": "205-280-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILTON COUNTY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "PAVEY",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "205-280-0064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51500749",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "924787",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009954170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.