Eyes on Albertville, LLC
Organization Active NPI Optometrist · Albertville, AL
NPI 1235664285 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1235664285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- SD63TAA44 (AL)
- Legal business name
- EYES ON ALBERTVILLE, LLC
- Practice address
- 200 S Hambrick St
Albertville, AL 35950-1624 - Phone
- (256) 878-3024
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Gussie B Branch, OD
- Title
- Owner/Optometrist
- Phone
- (256) 276-6738
Other NPIs on the same Medicare enrollment 2
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 1
Practitioners 5
-
Merin Amanda Graves, O.D.
-
Randall Walter Hoerth, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181217001640 | AL | Part B Supplier - Clinic/Group Practice | 0941545164 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment Practice locations: Albertville, AL; Guntersville, AL |
National Provider Directory
- Tax ID family
- Eyes on Albertville LLC
Locations
200 S Hambrick St
Albertville, AL 35950
Phone (256) 878-3024
390 Gunter Ave
Guntersville, AL 35976
Phone (256) 673-2090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | SD63TAA44 | AL | Yes |
Addresses
Primary practice location
200 S Hambrick St
Albertville, AL 35950-1624
Mailing address
PO Box 860
Albertville, AL 35950-0013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003263559 | Medicaid | AL | |
| 1164410387 | Medicaid | AL |
Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.