DR. JOE L. SHACKELFORD (NPI# 1255468997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255468997 |
| Entity Type | Individual |
| Full Name | DR. JOE L. SHACKELFORD |
| Credential | O.D. |
| Practice Address |
685 Schillinger Rd S Mobile AL 36695-8922 |
| Mailing Address |
1840 Bradshire Dr Mobile AL 36695-3078 |
| Practice Telephone | 2516335011 |
| Practice Fax Number | 2516335394 |
| Mailing Telephone | 2516397101 |
| Mailing Fax Number | 2516397101 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-421-TA-151 | AL | Eye and Vision Services Providers |
| Street Address |
685 SCHILLINGER RD S |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811914195 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2006-07-16 |
| 1952913162 | Arielle Aleyah Holder | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695-8944 | 2020-08-19 |
| 1194204222 | Kenrico Oakley Sr. | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2018-08-09 |
| 1336632884 | Elizabeth Lindsay Miller | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695 | 2018-06-10 |
| 1265965057 | Jacob Odom | Pharmacist | 685 Schillinger Rd S, Pharmacy, Mobile, AL 36695-8922 | 2017-04-07 |
| 1215229455 | Joe L Shackelford Od LLC | Clinic/Center | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2011-05-06 |
| 1003999087 | Wal-mart Stores East, Lp | Technician/Technologist | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063982288 | Alabama Physicians Eyecare Group, P.C. | Optometrist | 3653 Airport Blvd Ste C, Mobile, AL 36608-1615 | 2018-11-30 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1487084612 | Ayesha Kidd Senior Eyecare Service LLC | Optometrist | 5700 Grelot Rd, Apt # 925, Mobile, AL 36609-3617 | 2013-11-26 |
| 1518211978 | Daniel & Max | Optometrist | 3653 Airport Blvd, Suite C, Mobile, AL 36608-1615 | 2012-11-06 |
| 1508096512 | Tara Smith Festa | Optometrist | 3290 Dauphin St., Suite 401, Mobile, AL 36606-4053 | 2009-07-24 |
| 1487848701 | Eye Care Associates Inc | Optometrist | 3460 Spring Hill Ave, Mobile, AL 36608-1523 | 2007-08-29 |
| 1407977408 | Clardy Contact Lens Center, Inc. | Optometrist | 3167 Dauphin St, Mobile, AL 36606-4061 | 2007-04-03 |
| 1598883084 | Curtis Reed | Optometrist | 6001a Grelot Rd, Mobile, AL 36609-3609 | 2007-03-26 |
| 1174651749 | Albert Eugene Franklin IIi | Optometrist | 3716 Airport Blvd Ste A, Mobile, AL 36608-1618 | 2007-03-02 |
| 1952461279 | William Bradley | Optometrist | 3291 Bel Air Mall, Mobile, AL 36606-3207 | 2006-12-08 |
| Find all providers in MOBILE | ||||
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| 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.