Retina Associates of Alabama, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00025149 Issued in AL

Legal business name

RETINA ASSOCIATES OF ALABAMA, INC

Practice address

160 Healthwest Dr
Dothan, AL 36303-1996

Phone

(334) 712-1700

Fax

(334) 699-1715

NPI assigned

Jul 27, 2006

Organization subpart

No

Name

Dr. Warren A Thompson, MDNPI 1962484790

Title

President

Phone

(334) 712-1700

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren A Thompson, MD

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1962484790

  AL, Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Jorge L Arango, MD

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1295764983

  AL, Ophthalmology

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2013.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1124042601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8008",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040008",
            "telephone_number": "334-712-1700",
            "fax_number": "334-699-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031996",
            "telephone_number": "334-712-1700",
            "fax_number": "334-699-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF ALABAMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-712-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00025149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dothan, AL
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.