MASON BUCKLEY CHILDERS (NPI# 1952926776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952926776 |
| Entity Type | Individual |
| Full Name | MASON BUCKLEY CHILDERS |
| Credential | OD |
| Practice Address |
6020 Boll Weevil Cir Enterprise AL 36330-9420 |
| Mailing Address |
996 County Road 57 Skipperville AL 36374-6863 |
| Practice Telephone | 3343472732 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-E46 | AL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1892 Andrews Ave, Ozark, AL 363603724 | 3347744703 |
| Street Address |
6020 BOLL WEEVIL CIR |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| 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 |
|---|---|---|---|---|
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1194092940 | Wallowa Valley Eye Care, Inc. | Optometrist | 519 W. North Street, Enterprise, OR 97828-1168 | 2011-11-22 |
| 1538382973 | Velvet Jeter Maddox, O.d. P.C. | Optometrist | 607c Boll Weevil Cir, Enterprise, AL 36330-2733 | 2007-04-11 |
| 1346335833 | Velvet Jeter Maddox | Optometrist | 607-c Boll Weevil Circle, Enterprise, AL 36330 | 2006-10-03 |
| 1194826057 | John T. Bender, Jr., O.d., P.C. | Optometrist | 1020 B Boll Weevil Circle, Enterprise, AL 36330 | 2006-09-25 |
| 1801991633 | Vision Professionals | Optometrist | 805b East Lee Street, Enterprise, AL 36330 | 2006-09-14 |
| 1538179866 | Enterprise Optical LLC | Optometrist | 812 E. Lee, Enterprise, AL 36330 | 2006-08-09 |
| 1245256445 | James Troy Bailey | Optometrist | 519 W North Street, Enterprise, OR 97828 | 2006-07-14 |
| 1528032448 | John T Bender Jr. | Optometrist | 1020-b Boll Weevil Cir, Enterprise, AL 36330-2733 | 2006-02-15 |
| 1174510614 | Lorie C Woods | Optometrist | 812 E Lee St, Enterprise, AL 36330-2011 | 2005-09-30 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on MASON BUCKLEY CHILDERS.
| 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.