OrganizationActive
East Montgomery Optical Shoppe
NPI 1619155736 · Eyewear Supplier · Montgomery, AL
East Montgomery Optical Shoppe is a Eyewear Supplier organization in Montgomery, AL (NPI 1619155736).
Provider details
- NPI number
- 1619155736
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Wilson Paulk, Physican / Owner(334) 260-8511
- License
- 332H00000X (AL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone: (334) 260-8511
Fax: (334) 260-8755
Street-level locationGet directions
Mailing address
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Other names (DBA / former)
- Doing business as
- Wetumpka Optical
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2011-05-11
Frequently asked questions
- What is East Montgomery Optical Shoppe's NPI number?
- East Montgomery Optical Shoppe's National Provider Identifier (NPI) is 1619155736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Montgomery Optical Shoppe?
- East Montgomery Optical Shoppe is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is East Montgomery Optical Shoppe located?
- East Montgomery Optical Shoppe's practice location on file with NPPES is 262 Mitylene Park Dr, Montgomery, AL 36117-3548.
- What is East Montgomery Optical Shoppe's phone number?
- The practice phone number listed in the NPPES registry for East Montgomery Optical Shoppe is (334) 260-8511.
- Who is the authorized official for East Montgomery Optical Shoppe?
- The authorized official listed on East Montgomery Optical Shoppe's NPPES record is Wilson Paulk, Physican / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Montgomery Optical Shoppe's NPI active?
- Yes — East Montgomery Optical Shoppe's NPI (1619155736) is active in the NPPES registry as of the last update on 2011-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.