Provider Type Icon

DECATUR OPTICAL DISPENSARY NPI 1518155381


NPI Information

NPI: 1518155381
Provider Name: DECATUR OPTICAL DISPENSARY
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
201 6TH AVE SE
DECATUR, AL
ZIP 35601
Phone: (256) 351-0040
Get Directions

DECATUR OPTICAL DISPENSARY is an eyewear supplier in Decatur, AL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DECATUR OPTICAL DISPENSARY NPI is 1518155381. The provider is registered as an organization entity type.

The provider's business location address is:

201 6TH AVE SE
DECATUR, AL
ZIP 35601-115
Phone: (256) 351-0040
Fax: (256) 301-0449

The provider's authorized official is Jack L Holbert .
The authorized official title is Pres. Of Company/optician and has the following contact phone number (256) 351-0040.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 9/3/2015.


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
1332H00000XEyewear Supplier332H00000XALABAMAYes

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
11629014469OTHERNPI

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: 4/28/2024

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.