NPIMap

Organization Active NPI

Eyecare Associates, Inc.

  • Eyewear Supplier
  • Birmingham, AL
National Provider Identifier
1275668378
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SB04TA712 Issued in AL
Legal business name
EYECARE ASSOCIATES, INC.
Practice address
225 State Farm Pkwy Ste 109
Birmingham, AL 35209-7346
Phone
(205) 942-0377
NPI assigned
Feb 22, 2007
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Dr. James Wachter, ODNPI 1689670697
Title
Cmo
Phone
(636) 200-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SB04TA712 AL Primary
Optometrist 152W00000X NU

Addresses

Primary practice location

225 State Farm Pkwy Ste 109
Birmingham, AL 35209-7346

Mailing address

PO Box 207243
Dallas, TX 75320-7255
Phone (636) 200-4393

Other practice location 1

130 Wildwood Pkwy
Suite 104
Homewood, AL 35209-7187
Phone (636) 200-4393 ext. 3064

Other identifiers 3

IdentifierTypeStateIssuer
1275668378OtherALGROUP NPI
1538173133OtherALNPI
529911370MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000825 AL Part B Supplier - Clinic/Group Practice 0749254001 Receives reassigned benefits from 88 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntsville, AL; Luverne, AL; Madison, AL; Mobile, AL; Montgomery, AL; Moody, AL; Northport, AL; Ozark, AL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory

Locations

130 Wildwood Pkwy
Ste 104
Homewood, AL 35209
Phone (205) 942-0377

Practitioners & affiliated clinicians

Practitioners 10

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1275668378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207255",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STATE FARM PKWY STE 109",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097346",
            "telephone_number": "205-942-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Wildwood Pkwy",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352097187",
            "country_code": "US",
            "telephone_number": "636-200-4393 x3064",
            "fax_number": "205-945-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "636-200-4393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "SB04TA712",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1275668378",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538173133",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911370",
            "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 9, 2024; 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.