NPIMap

Organization Active NPI

Eamc Eye Clinic, LLC

Doing business as Surgical Eye Consultants of East Alabama

  • Ophthalmology Physician
  • Auburn, AL
National Provider Identifier
1265143150
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EAMC EYE CLINIC, LLC
Doing business as
Surgical Eye Consultants of East Alabama
Practice address
890 N Dean Rd Ste 300
Auburn, AL 36830-9452
Phone
(334) 364-3330
Fax
(334) 364-3329
NPI assigned
Dec 12, 2022
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

890 N Dean Rd Ste 300
Auburn, AL 36830-9452

Mailing address

890 N Dean Rd Ste 300
Auburn, AL 36830-9452
Phone (334) 364-3330

Other names 1

  • Surgical Eye Consultants of East Alabama Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230220001425 AL Part B Supplier - Clinic/Group Practice 2567611031 Receives reassigned benefits from 3 practitioners
Practice locations: Valley, AL; Opelika, AL; Auburn, AL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
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.

Locations

2000 Pepperell Pkwy
#4
Opelika, AL 36801
Phone (334) 528-6655

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1265143150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309452",
            "telephone_number": "334-364-3330",
            "fax_number": "334-364-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309452",
            "telephone_number": "334-364-3330",
            "fax_number": "334-364-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAMC EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Eye Consultants of East Alabama",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Eye Consultants of East Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.