SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC


Address: 1911 Skyland Blvd E, Suite A3, Tuscaloosa, AL 35405
Phone: 2054690444

SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC (NPI# 1982978490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982978490
Entity Type Organization
Organization Name SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC
Practice Address 1911 Skyland Blvd E
Suite A3
Tuscaloosa
AL 35405
Mailing Address 230 E 10th St Ste 106
Anniston
AL 36207-5771
Practice Telephone 2054690444
Practice Fax Number 2054690433
Mailing Telephone 2567417340
Enumeration Date 2012-03-01
Last Update Date 2018-05-14
Authorized Official Name JENELL STUMP (MANAGER, LICENSING & CREDENTIALING)
Authorized Official Telephone 6299995006
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL 136523 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386120459 Sarrell Regional Dental Center for Public Health, Inc Optometrist 5412 Montgomery Hwy Ste 8, Dothan, AL 36303-1657 2018-07-12
1801372958 Sarrell Regional Dental Center for Public Health, Inc Optometrist 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111-3392 2018-07-12
1306153184 Sarrell Regional Dental Center for Public Health, Inc Optometrist 310 W Elm St, Athens, AL 35611 2010-09-01

Office Location

Street Address 1911 SKYLAND BLVD E
SUITE A3
City TUSCALOOSA
State AL
Zip Code 35405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639167422 Latricia E Curley Dentist 1911 Skyland Blvd E, Suite A-3, Tuscaloosa, AL 35405-1541 2005-10-06
1740551027 Sarrell Regional Dental Center for Public Health Inc. Dentist 1911 Skyland Blvd E, Suite A-3, Tuscaloosa, AL 35405-1541 2012-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063010270 Jane Ferguson Specialist/Technologist 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 2020-10-12
1487252771 Changing Seasons Therapy and Consulting, Pllc Social Worker 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 2020-10-09
1528590874 Susan B. Miles Registered Nurse 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 2017-03-28
1881069474 Dhl Mobile Healthcare LLC Nurse Practitioner 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 2015-12-08
1386056026 Remona Peterson Family Medicine 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 2014-05-29
1184909475 Walter Dewaine Brewer Pharmacist 8701 Hwy 69 South, Tuscaloosa, AL 35405 2011-10-18
1063702439 Annette Marie Gibson Nurse Practitioner 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 2011-04-19
1790075588 Jones Counseling and Therapeutic Services Marriage & Family Therapist 138-39th Street, Tuscaloosa, AL 35405 2011-04-13
1356513030 Jennifer Kaye Williams Licensed Practical Nurse 5404 4th Ct East, Tuscaloosa, AL 35405 2008-04-02
1679772891 Vijaya K Kommareddi Internal Medicine 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 2007-07-17
Find all providers in zip 35405

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750925020 Dipal Patel Optometrist 1701 Mcfarland Blvd E Ste 205, Tuscaloosa, AL 35404-5833 2019-10-30
1770093551 Myeyedr Optometry of Alabama LLC Optometrist 1701 Mcfarland Blvd E Ste 121, Tuscaloosa, AL 35404-5829 2017-10-05
1891144259 Gregory Chad Green, Od, PC Optometrist 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 2016-06-07
1336375823 Carrie Elaine Bonds Optometrist 306 19th St E, Tuscaloosa, AL 35401-3626 2009-06-10
1053455212 Colleen Stanley Dent Optometrist 1401 Skyland Blvd E, In Sams Club Optical, Tuscaloosa, AL 35405-4229 2007-02-19
1184715112 Stephanie B Bedsole Optometrist 700 Helen Keller Blvd, Tuscaloosa, AL 35404-2960 2006-09-27
1306941612 Gretchen L Langkawel Optometrist 7402 Highway 69 S, Suite I, Tuscaloosa, AL 35405-1300 2006-09-13
1790893725 Jana Leigh Morgan Optometrist 4720 University Blvd E, Suite E, Tuscaloosa, AL 35404-5192 2006-08-29
1467494492 Dawn L Johnson Optometrist 1701 Mcfarland Blvd E, 141, Tuscaloosa, AL 35404-5824 2006-06-12
1487618674 Robert L Moore Optometrist 631 Helen Keller Blvd, Suite 100, Tuscaloosa, AL 35404-2983 2006-04-14
Find all providers in TUSCALOOSA

Competitor

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City TUSCALOOSA
Zip Code 35405

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Dataset Information

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.

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