MONTGOMERY OPTICAL CENTER INC. (NPI# 1740378439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740378439 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY OPTICAL CENTER INC. |
| Other Organization Name | 2020 OPTICAL SHOPPE |
| Practice Address |
2020 Normandie Dr Montgomery AL 36111-2734 |
| Practice Telephone | 3342815011 |
| Mailing Telephone | 3342815011 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DANIELLE R FULLER (MANAGER) |
| Authorized Official Telephone | 3342815011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
0001701 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 59221 | 01 |
| Other Name | Type Code |
|---|---|
| 2020 Optical Shoppe | Doing Business As Name - Organization |
| Street Address |
2020 NORMANDIE DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547075 | Frank C Young IIi | Ophthalmology | 2020 Normandie Dr, Montgomery, AL 36111-2712 | 2005-06-09 |
| 1801963046 | 2020 Ophthalmic Associates, P.C. | Ophthalmology | 2020 Normandie Dr, Montgomery, AL 36111-2734 | 2006-11-30 |
| 1467456020 | Ricki D Dobbs | Ophthalmology | 2020 Normandie Dr, Montgomery, AL 36111-2712 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902040488 | America's Best Contacts & Eyeglasses | Technician/Technologist | 909 Anne St, Montgomery, AL 36107-2001 | 2009-04-28 |
| 1396996104 | Payless Optical Outlets, Inc | Technician/Technologist | 3516 Eastdale Mall Annex, Montgomery, AL 36117 | 2008-10-10 |
| 1891953501 | Jack Ellis Cates | Technician/Technologist | 1737 West 3rd St, Montgomery, AL 36106 | 2008-05-29 |
| 1326241597 | Advantage Eyewear | Technician/Technologist | 2567 Bell Rd, Montgomery, AL 36117-4369 | 2007-06-06 |
| 1235279365 | Vincent B Cox | Technician/Technologist | 1842 Fairforest Dr, Montgomery, AL 36106-2702 | 2007-02-07 |
| 1710053053 | Charles L. Cummings | Technician/Technologist | 306 Coliseum Blvd, Montgomery, AL 36109-2712 | 2006-11-28 |
| 1275615601 | Wal-mart Stores East, Lp | Technician/Technologist | 851 Ann St., Montgomery, AL 36107 | 2006-10-19 |
| 1427167188 | Ramona C Cox | Technician/Technologist | 330 Madison Ave, Montgomery, AL 36104-3628 | 2006-08-29 |
| 1184105652 | Alyson Tudong Nguyen | Technician/Technologist | 851 Ann St, Montgomery, AL 36107-2800 | 2018-08-23 |
| 1841666963 | Wal-mart Stores, Inc | Technician/Technologist | 2000 Orchard Rd, Montgomery, IL 60538-1028 | 2015-08-12 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
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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.