DECATUR OPTICAL DISPENSARY
NPI 1629014469
Eyewear Supplier in Decatur, AL

Active since June 21, 2006
201 6TH AVE SE, DECATUR, AL 35601(256) 351-0040(256) 301-9449 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Decatur Optical Dispensary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECATUR OPTICAL DISPENSARY (NPI 1629014469) is a healthcare organization registered as an eyewear supplier in Decatur, Alabama and active in the NPI registry since June 2006. The organization lists Jack Lynn Holbert, President, as its authorized official.

NPPES Registry Identity

NPI1629014469
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDECATUR OPTICAL DISPENSARY
Location Address201 6TH AVE SEDecatur, AL 35601-3115
Mailing Address201 6th Ave SeDecatur, AL 35601-3115 · (256) 351-0040 · Fax (256) 301-9449
Fax(256) 301-9449
Organization SubpartNo
Authorized OfficialJack Lynn HolbertPresident · (256) 351-0040
Enumeration DateJune 21, 2006
Last NPPES UpdateJanuary 14, 2015
NPI 1629014469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
201 6TH AVE SE, Decatur, AL 35601

Other Identifiers 2

Medicare NSC0658940001AL
Medicaid000059076AL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Eyewear Supplier
201 6TH AVE SE
DECATUR, AL 35601
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Optometrist
201 6TH AVE SE
DECATUR, AL 35601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decatur Optical Dispensary's NPI number?

The NPI number for Decatur Optical Dispensary is 1629014469. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Decatur Optical Dispensary located?

Decatur Optical Dispensary is located at 201 6th Ave SE, Decatur, AL 35601. The listed phone number is (256) 351-0040.

What is Decatur Optical Dispensary's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Decatur Optical Dispensary was last updated on January 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.