MICHAEL O. STUTTS O.D.LLC NPI 1013200542

Optometrist in Sheffield, AL

NPI 1013200542 Organization Optometrist Medicare Supplier Accepts Medicare Approved Payment

About MICHAEL O. STUTTS O.D.LLC

Michael O. Stutts O.d.llc is a provider established in Sheffield, Alabama specializing in optometrist. The NPI number of Michael O. Stutts O.d.llc is 1013200542 and was assigned on May 2011. The practitioner's primary taxonomy code is 152W00000X with license number S654TA084 (AL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Michael O. Stutts O.d.llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael O Stutts O.d. (Optometirst)

Michael O. Stutts O.d.llc is a medicare supplier with PTAN 6512950001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

NPI

1013200542

Provider NameMICHAEL O. STUTTS O.D.LLC
Provider Location Address401 COX BLVD SUITE B SHEFFIELD, AL 35660
Provider Mailing Address401 COX BLVD SUITE B SHEFFIELD, AL 35660
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-17-2011
Last Update Date05-17-2011


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.S654TA084
License StateAL
Taxonomy DescriptionDoctors 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.

Business Address

MICHAEL O. STUTTS O.D.LLC
401 COX BLVD
SUITE B
SHEFFIELD, AL
ZIP 35660
Phone: (256) 314-4424
Fax: (256) 314-4535

Get Directions


Mailing Address

MICHAEL O. STUTTS O.D.LLC
401 COX BLVD
SUITE B
SHEFFIELD, AL
ZIP 35660
Phone: (256) 314-4424
Fax: (256) 314-4535



Authorized Official

Authorized Official NameDR. MICHAEL O STUTTS O.D.
Authorized Official TitleOPTOMETIRST
Authorized Official Phone(256) 314-4424

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6512950001
Accepts Medicare AssignmentYES
Specialities ListOptometrist.
Supplies List
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Competitive BiddingNO

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
127255MEDICAID (05)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760455836MR. SAMUEL WESLEY RICHARDSON MAED, ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)401 COX BLVD UNIT E
SHEFFIELD, AL 35660
(256) 246-3490
1275570251DR. MICHAEL OWEN STUTTS O.D.
Individual
Optometrist401 COX BLVD SUITE B
SHEFFIELD, AL 35660
(256) 314-4424

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.