MARVELOUS EYES, LLC (NPI# 1104222934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104222934 |
| Entity Type | Organization |
| Organization Name | MARVELOUS EYES, LLC |
| Other Organization Name | DEERFOOT EYE CARE |
| Practice Address |
6723 Deerfoot Pkwy Suite 119 Pinson AL 35126-3011 |
| Practice Telephone | 2056833232 |
| Practice Fax Number | 2056833233 |
| Mailing Telephone | 2056833232 |
| Mailing Fax Number | 2056833233 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | KELLY P SHAW (PRESIDENT) |
| Authorized Official Telephone | 2056833232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Deerfoot Eye Care | Doing Business As Name - Organization |
| Street Address |
6723 DEERFOOT PKWY SUITE 119 |
| City | PINSON |
| State | AL |
| Zip Code | 35126-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689772394 | Diane A Murray | Physical Therapist | 6723 Deerfoot Pkwy, Suite 105, Pinson, AL 35126-3011 | 2006-09-20 |
| 1205929387 | Physiothrerapy Associates | Physical Therapist | 6723 Deerfoot Pkwy, Ste 105, Pinson, AL 35126-3011 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070835 | Tonika Nicole Stewart | Counselor | 5696 Picketts Circle, Pinson, AL 35126 | 2019-08-27 |
| 1154707834 | Lenora Lewis Bradshaw | Nurse Anesthetist, Certified Registered | 7347 Old Springville Road, Pinson, AL 35126 | 2015-08-05 |
| 1356669527 | Shannon Mattox Hurst | Pharmacist | 4679 Center Point Road, Pinson, AL 35126 | 2010-05-12 |
| 1164543146 | Buckelew Deerfoot Pharmacy Inc | Pharmacist | 6735 Deerfoot Pky Suite 101, Pinson, AL 35126 | 2007-04-03 |
| 1720173883 | John O Bolton Dmd | Dentist | 6720 Old Springville Road, Pinson, AL 35126 | 2006-10-04 |
| 1992809073 | Diana Tittle Housch | Pharmacist | 4701 Centerpoint Rd, Winn Dixie 0500, Pinson, AL 35126 | 2006-09-11 |
| 1275843609 | Octavian Popescu | Internal Medicine | 6725 Deerfoot Pkwy, Pinson, AL 35126 | 2010-10-19 |
| 1124043831 | Irwin Howard Fingerman | Optometrist | 5239 Old Springville Rd, Ste 103, Pinson, AL 35126 | 2006-07-13 |
| 1093290991 | Clelata Lewis | Nurse Practitioner | 5154 Yorkshire Dr, Pinson, AL 35126-0075 | 2018-09-27 |
| 1992335137 | Christy Lashelle Barfield | Respiratory Therapist, Registered | 5639 Goodwin Ct, Pinson, AL 35126-1100 | 2020-01-15 |
| Find all providers in zip 35126 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARVELOUS EYES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.