Active NPI
Eye Supply LLC
- Ophthalmologic Surgery Clinic/Center
- Birmingham, AL
National Provider Identifier
1174195341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Eye Foundation Hospital, Inc (Anesthesia at Eye Foundation Hospital)
- Eye Foundation Optical Shoppe
- Eye Foundation, Inc. (Callahan Eye Hospital)
- Eye Health Partners of Alabama Inc
- Eye Medical Center
- Eyecare Associates, Inc.
- Eyecare Associates, Inc.
- Eyecare Associates, Inc.
- Eyecare Associates, Inc.
- Eyecare Associates, Inc. (The Eye Place)
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.