Individual provider Active NPI

Dae Y Song, M.D.

  • Legal Medicine
  • Selma, AL
National Provider Identifier
1316902802
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
00017689 Issued in AL
Practice address
1100 Medical Center Pkwy
Selma, AL 36701-6794
Phone
(334) 874-8787
Fax
(334) 874-8780
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 00017689 AL Primary

Addresses

Primary practice location

1100 Medical Center Pkwy
Selma, AL 36701-6794

Mailing address

1100 Medical Center Pkwy
Selma, AL 36701-6794
Phone (334) 874-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041227000476 AL Practitioner - Ophthalmology 4183682966 Reassigns benefits to 1 organization
I20260227000705 NV Practitioner - Ophthalmology 4183682966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight Eva I Liang MD PCGroup PAC ID 0840443180, 15 clinicians

Practice addresses (Care Compare)

871 Coronado Ctr Dr
Suite 130
Henderson, NV 89052-3977
Phone (702) 724-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00017689ALMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Song Eye Center CurrentSince Apr 8, 1996 Accepting new patients
Center for Sight Eva I Liang MD PC CurrentSince Jan 22, 2026 Accepting new patients

Locations

1100 Medical Center Pkwy
Selma, AL 36701
Phone (334) 872-9711

871 Coronado Center Dr
Ste 130
Henderson, NV 89052
Phone (702) 724-2020

2870 S Maryland Pkwy
Ste 300
Las Vegas, NV 89109
Phone (702) 702-2002

5871 W Craig Rd
Las Vegas, NV 89130
Phone (702) 724-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1316902802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016794",
            "telephone_number": "334-874-8787",
            "fax_number": "334-874-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016794",
            "telephone_number": "334-874-8787",
            "fax_number": "334-874-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "DAE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "00017689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.