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POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE NPI 1336257575


NPI Information

NPI: 1336257575
Provider Name: POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 01D0671486

Address:
5811 JACK SPRINGS RD
ATMORE, AL
ZIP 36502
Phone: (251) 446-3937
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POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE is an optometrist in Atmore, AL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE NPI is 1336257575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5811 JACK SPRINGS RD
ATMORE, AL
ZIP 36502-025
Phone: (251) 446-3937
Fax: (251) 368-0805

The provider's authorized official is Eddie Jackson .
The authorized official title is Health Administrator and has the following contact phone number (251) 368-9136.

The CLIA number assigned to this NPI record is 01D0671486 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 1/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15170260001MEDICARE NSCALABAMA
2J780MEDICARE PIN
3J780MEDICARE ID-TYPE UNSPECIFIEDALABAMA
4529919290MEDICAIDALABAMA
55170260001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.