Organization Active NPI

Dachelet & Associates PC

  • Optometrist
  • Anniston, AL
National Provider Identifier
1982652293
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DACHELET & ASSOCIATES PC
Practice address
1105 Christine Ave
Anniston, AL 36207-4657
Phone
(256) 236-0300
Fax
(256) 236-0324
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Ronald Edward Dachelet, O.D.
Title
Owner
Phone
(256) 236-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X AL Primary
Eyewear Supplier 332H00000X AL

Addresses

Primary practice location

1105 Christine Ave
Anniston, AL 36207-4657

Mailing address

PO Box 697
Anniston, AL 36202-0697
Phone (256) 236-0300

Other names 1

  • Anniston Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051031000201 AL Part B Supplier - Clinic/Group Practice 4688691579 Receives reassigned benefits from 1 practitioner
Practice locations: Anniston, AL
O20100930094215 AL DME Supplier - Physician - Optometrist 4688691579 Practice locations: Anniston, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anniston Eye Clinic1105 Christine Ave, Anniston, AL 36207-4657(256) 236-0300 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Sep 4, 2002

National Provider Directory

National Provider Directory

Locations

1105 Christine Ave
Anniston, AL 36207
Phone (256) 236-0300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1982652293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362020697",
            "telephone_number": "256-236-0300",
            "fax_number": "256-236-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074657",
            "telephone_number": "256-236-0300",
            "fax_number": "256-236-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACHELET & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DACHELET",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-236-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anniston Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.