Individual provider Active NPI

John Pointer Eitzen, M.D.

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1124218698
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D71351 Issued in MD
Practice address
3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone
(256) 533-0315
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13382 AL
Ophthalmology Physician 207W00000X D71351 MD Primary

Addresses

Primary practice location

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901

Mailing address

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080915000636 AL Practitioner - Ophthalmology 6800963919 Reassigns benefits to 1 organization
I20170731001940 NE Practitioner - Ophthalmology 6800963919

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maynor and Mitchell Eye Center PCGroup PAC ID 1759300304, 10 clinicians

Practice addresses (Care Compare)

3501 Memorial Pkwy SW
Suite 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13382ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maynor & Mitchell Eye Center PC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Retina Center of Nebraska, P.C. Ophthalmology Past Accepting new patients

Locations

1238 13th Ave SE
Decatur, AL 35601
Phone (256) 355-3010

2415 Helton Dr
Ste A
Florence, AL 35630
Phone (256) 533-0315

3501 Memorial Pkwy SW
Ste 200
Huntsville, AL 35801
Phone (256) 533-0315

2331 Whitesburg Dr SE
Ste B
Huntsville, AL 35801
Phone (256) 536-0505

102 Micah Way
Ste 1108
Scottsboro, AL 35769
Phone (256) 259-4119

Interoperability endpoints

  • Direct secure messaging: jeitzen@mmec.intellechartdirect.net
  • Direct secure messaging: john.eitzen.p1@direct.nri.nextgenshare.com

Organizations & group practices 2

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1124218698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-533-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-533-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITZEN",
        "first_name": "JOHN",
        "middle_name": "POINTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "13382",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D71351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.