Eamc Eye Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAMC EYE CLINIC, LLC

Practice address

122 N 20TH St BLDG 26
Opelika, AL 36801-5442

Phone

(334) 749-1486

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Price Jr.

Title

Cfo

Phone

(334) 528-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eamc Eye Clinic, LLC

  dba Surgical Eye Consultants of East Alabama

  • Ophthalmology Physician
  • Auburn, AL
  • NPI 1265143150

  2567611031

  Same PAC ID

Tax ID family

Eamc Eye Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eamc Eye Clinic, LLC

  dba Surgical Eye Consultants of East Alabama

  • Ophthalmology Physician
  • Auburn, AL
  • NPI 1265143150
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The East Alabama Health Care Authority

  dba Eamc-Lanier Rural Emergency Hospital

  • General Acute Care Hospital
  • Valley, AL
  • NPI 1780235002

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bertrand Marquess Anz II, MD

  • Ophthalmology Physician
  • Opelika, AL
  • NPI 1598778912
  Medicare reassignment NPD

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1194087064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 26",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 26",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAMC EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Blake Dunn, PH.D.
• Shourik Dutta, DO
• Rachael Jones Dyas, DPT
• E-Core Med, Inc
• Eamc ER Physicians
• Eamc Physicians Group
• Eamc the Wound Treatment Center
• Merri Earl, NP
• East Alabama Campus Health, LLC (Employee Care Center)
• East Alabama Cardiac and Thoracic Surgery

• Optometrist in Opelika, AL
• Providers in Opelika, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.