Healthcare Provider Details

I. General information

NPI: 1013057355
Provider Name (Legal Business Name): JAMES H. POOLE, O.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83745 HWY 9
ASHLAND AL
36251
US

IV. Provider business mailing address

PO BOX 1037
ASHLAND AL
36251-1037
US

V. Phone/Fax

Practice location:
  • Phone: 256-354-2010
  • Fax: 256-354-5324
Mailing address:
  • Phone: 256-354-2010
  • Fax: 256-354-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberS-641-TA-157
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberS-641-TA-157
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberS-641-TA-157
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License NumberS-641-TA-157
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License NumberS-641-TA-157
License Number StateAL
# 6
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-641-TA-157
License Number StateAL

VIII. Authorized Official

Name: DR. JAMES H. POOLE
Title or Position: OWNER
Credential: O.D.
Phone: 256-354-2010