Organization Active NPI

Alabama Eye Surgery PC

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1184680647
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALABAMA EYE SURGERY PC
Practice address
801 Princeton Ave SW
Ste 530
Birmingham, AL 35211-1310
Phone
(205) 787-1411
Fax
(205) 787-2603
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Bruce Shelby Eich, MD
Title
Medical Doctor Owner
Phone
(205) 787-1411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

801 Princeton Ave SW
Ste 530
Birmingham, AL 35211-1310

Mailing address

PO Box 10992
Birmingham, AL 35202-0992
Phone (205) 787-1411

Other identifiers 3

IdentifierTypeStateIssuer
529921660MedicaidAL
G042OtherALBLUE CROSS OF ALABAMA
DC1578OtherALRAILROAD MEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

995 9th Ave SW
Ste 102
Bessemer, AL 35022
Phone (205) 787-1411

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1184680647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10992",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352020992",
            "telephone_number": "205-787-1411",
            "fax_number": "205-787-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "STE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-787-1411",
            "fax_number": "205-787-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA EYE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "EICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "205-787-1411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529921660",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "G042",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DC1578",
            "state": "AL"
        }
    ],
    "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 17, 2009; 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.