Individual provider Active NPI

Abby Luray Nice, OD

  • Optometrist
  • Bay Minette, AL
National Provider Identifier
1104470350
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-299 Issued in AL
Practice address
2003 Medical Center Dr
Bay Minette, AL 36507-4163
Phone
(251) 937-6582
Fax
(251) 937-6614
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5723 FL
Optometrist 152W00000X R-299 AL Primary

Addresses

Primary practice location

2003 Medical Center Dr
Bay Minette, AL 36507-4163

Mailing address

PO Box 207243
Dallas, TX 75320-7243
Phone (636) 200-4393

Other practice location 1

1630 Airport Blvd Ste 230
Pensacola, FL 32504-8637
Phone (850) 912-4100

Other practice location 2

105 W I65 Service Rd N
Mobile, AL 36608-1202
Phone (251) 344-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220121000500 AL Practitioner - Optometry 0143612275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

105 W
Mobile, AL 36608-1202
Phone (251) 344-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-299ALMDOptometrist
5723FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Dec 10, 2021 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Dec 10, 2021 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jul 28, 2019 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

2003 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-6582

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1104470350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-6582",
            "fax_number": "251-937-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Airport Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048637",
            "country_code": "US",
            "telephone_number": "850-912-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W I65 Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081202",
            "country_code": "US",
            "telephone_number": "251-344-2020",
            "fax_number": "251-341-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICE",
        "first_name": "ABBY",
        "middle_name": "LURAY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5723",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.