Northeast Alabama Eye Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

5650 Issued in AL

Legal business name

NORTHEAST ALABAMA EYE SURGERY CENTER

Practice address

314 S 5TH St
Gadsden, AL 35901-4224

Phone

(256) 547-8634

Fax

(404) 410-1211

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTHEAST AL EYE SURGERY Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Northeast Alabama Eye Surgery CenterCCN 01C0001040

Medicare certification status

ActiveFrom the Provider of Services file

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 6

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

• Katelyn Bunn, OD

  • Optometrist
  • Springville, AL
  • NPI 1760059018
  NPD (past)
• Anthony J Catanzaro, M.D.

  • Specialist
  • Gadsden, AL
  • NPI 1750395554
  NPD (past)
• Charles B Dabbs, M.D.

  • Specialist
  • Gadsden, AL
  • NPI 1427083732
  NPD (past)
• Mark Logan Hill, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Homewood, AL
  • NPI 1386871838

  Ophthalmology

  NPD (past)
• Leah P. Kirkemier, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1295838548
  NPD (past)
• Bradley Robert Langston, M.D.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1790149524

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1306877261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSS ST 154-0455 BOX 360414",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152620001",
            "telephone_number": "256-547-8634",
            "fax_number": "256-547-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014224",
            "telephone_number": "256-547-8634",
            "fax_number": "404-410-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC0068C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST AL EYE SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Jorgen Nordness, M.D.
• North Alabama Cardiology Center
• North Alabama Medical Association LLC
• Northeast Alabama Audiology Clinic
• Northeast Alabama Endodontics PC
• Northeast Alabama Eyecare Associates LLC
• Northeast Alabama MRDD Authority
• Northeast Alabama Pediatrics, P.C.
• Northeast Imaging PC
• Northeast Orthopedic Clinic PC

• All providers in Gadsden, AL
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.