Alabama Eye Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALABAMA EYE SURGERY CENTER LLC

Practice address

5937 W Main St
Dothan, AL 36305-9317

Phone

(334) 446-0872

Fax

(334) 446-0893

NPI assigned

Sep 15, 2018

Last updated

Sep 15, 2018By 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

Dr. Kirk Sturridge, MDNPI 1568616977

Title

Director

Phone

(334) 446-0872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306320338. Details of each certification follow.

• CCN 01C0001059 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 01C0001059

Legal name

ALABAMA EYE SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 12, 2019

Last certification

Jun 12, 2019

Ownership / control type

Proprietary

Facility address

5937 W Main St
Dothan, AL 36305

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Kirk Alexander Sturridge, M.D.

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1568616977
  NPD Authorized official

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536969600000",
    "number": "1306320338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059317",
            "telephone_number": "334-446-0872",
            "fax_number": "334-446-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059317",
            "telephone_number": "334-446-0872",
            "fax_number": "334-446-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A",
        "authorized_official_last_name": "STURRIDGE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-446-0872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #07179)
• Alabama Eye Physicians and Surgeons, P.C.
• Alabama Inpatient Medicine Associates , LLC
• Alabama South Family Podiatry P C
• Alan C Turnham, M.D.,P.a.
• Robert Philip Albares, MD
• Lauren Elise Albert, O.D.

• Ambulatory Surgical Clinic/Center in Dothan, AL
• Providers in Dothan, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.