Alabama Retina

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

30073 Issued in AL

Legal business name

ALABAMA RETINA

Practice address

242 Winton Blount Loop
Montgomery, AL 36117-3501

Phone

(334) 384-1141

NPI assigned

Feb 19, 2016

Last updated

Jun 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew HsiaNPI 1316034259

Title

Founder

Phone

(334) 625-0884

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: ahsia@alretina.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew David Hsia, MD

  • Retina Specialist (Ophthalmology) Physician
  • Montgomery, AL
  • NPI 1316034259
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591488000000",
    "number": "1033578901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WINTON BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-384-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WINTON BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-384-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 Woodmere Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063065",
            "country_code": "US",
            "telephone_number": "334-625-0884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 Champions Blvd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368306471",
            "country_code": "US",
            "telephone_number": "334-384-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALABAMA RETINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "HSIA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "334-625-0884",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "30073",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "30073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119659",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alabama Orthopaedics and Sports Medicine Assoc
• Alabama Pathology Associates
• Alabama Pathology Associates
• Alabama Prosthetics and Orthotics, Inc.
• Alabama Pulmonary & Critical Care P.C.
• Alabama Sheriffs' Youth Ranches, Inc.
• Alabama Smiles (The Tooth Zone)
• Alabama Sports, Spine & Occupational Medicine Associates PC
• Alabama State Department of Education
• Alabama State University (Alabama State Sports Medicine)

• Retina Specialist (Ophthalmology) Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Retina Specialist (Ophthalmology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.