Southern Eye Specialists PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16679 Issued in AL

Legal business name

SOUTHERN EYE SPECIALISTS PC

Practice address

1909 Honeysuckle Rd
Suite 2
Dothan, AL 36305-4289

Phone

(334) 699-7100

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By 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. Andrew Frederic Dannemann, MDNPI 1396776944

Title

MD/President

Phone

(334) 699-7100

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Andrew F Dannemann, MD

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1396776944
  Authorized official Same address or phone

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1316177488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HONEYSUCKLE RD",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054289",
            "telephone_number": "334-699-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HONEYSUCKLE RD",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054289",
            "telephone_number": "334-699-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "DANNEMANN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "334-699-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "16679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Alabama Physicians LLP
• Southern Alabama Regional Council on Aging
• Southern Alabama Surgery Center LLC (Surgery Center South)
• Southern Cardiovascular Care, PC
• Southern Clinic PC
• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care Services, Inc.
• Southern Home Respiratory Inc
• Southern Institute of Plastic Surgery, Inc.
• Southern Magnolia Dental LLC (Southern Magnolia Dental)

• Ophthalmology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.