Organization Active NPI

Eye Supply LLC

  • Ophthalmologic Surgery Clinic/Center
  • Birmingham, AL
National Provider Identifier
1174195341
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
EYE SUPPLY LLC
Practice address
2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009
Phone
(205) 558-2525
Fax
(205) 558-2554
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Edgar Ready IV, MD
Title
Member
Phone
(205) 558-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009

Mailing address

2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009
Phone (205) 558-2525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1174195341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHLAND AVE S STE 350",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054009",
            "telephone_number": "205-558-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HIGHLAND AVE S STE 350",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054009",
            "telephone_number": "205-558-2525",
            "fax_number": "205-558-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "READY",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-558-2525",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.