Wyatt- Kirkpatrick Eye MD Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20641 Issued in AL

Legal business name

WYATT- KIRKPATRICK EYE MD ASSOCIATES

Practice address

2 Office Park Cir
Selma, AL 36701-6538

Phone

(334) 872-3403

Fax

(334) 872-3405

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Mims

Title

Office Manager

Phone

(334) 874-3403

Specialties & licenses 2

Addresses

Other identifiers 12

Locations

Practitioners 1

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

• Christopher K Mutai

  • Optometrist
  • Jacksonville, FL
  • NPI 1255359105
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1992841886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016538",
            "telephone_number": "334-872-3403",
            "fax_number": "334-872-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016538",
            "telephone_number": "334-872-3403",
            "fax_number": "334-872-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT- KIRKPATRICK EYE MD ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-874-3403"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B10-TA-704",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "20641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937627",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051002044",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051525773",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "V06937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "118255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G68704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00437321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH MEDICARE",
            "identifier": "G68704",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009976795",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180035890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002044",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MUTAI BCBS",
            "identifier": "051535830",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Victoria Willoughby
• Keisha Wilson, RPH
• Brittany Wingo, PHARMD
• Joseph Wood
• Cynthia Woods
• E. M. Brendan Wyatt
• Jennifer Young
• Beekman Lee Youngblood, MD
• Joan Elon Zora

• Ophthalmology Physician in Selma, AL
• Providers in Selma, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.