Eye Surgery Center of Albany, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

047-325 Issued in GA

Legal business name

EYE SURGERY CENTER OF ALBANY, LLC

Practice address

2308 Palmyra Rd
Albany, GA 31701-1324

Phone

(229) 435-8799

Fax

(229) 438-8345

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Scot Allen Wall, MD

Title

President

Phone

(229) 435-8799

Specialties & licenses 1

Addresses

Practitioners 2

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

• Marnix E Heersink, MD

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1598794273
  NPD
• Zsolt C Bansagi, MD

  • Ophthalmology Physician
  • Panama City, FL
  • NPI 1366472383
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1194988220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011324",
            "telephone_number": "229-435-8799",
            "fax_number": "229-438-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011324",
            "telephone_number": "229-435-8799",
            "fax_number": "229-438-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF ALBANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-435-8799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "GA",
            "license": "047-325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiane K Ewiah, NP
• Samuel Ewiah, PHARM D
• Daphyne Marie Ewings, COTA/L
• Expressions - the Mind & Body'S Healing Connection
• Eye Doctors of Georgia
• Eye Surgery Center of Albany, LLC
• Jewel Jones Faison, PH.D.
• Faith by Faith Private Care Services
• Family Extended Care of Albany, Inc.
• Family First Medical Associates PC

• Ophthalmologic Surgery Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.