Organization Active NPI

Laser Eye Center PC

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1326420258
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.26750 Issued in AL
Legal business name
LASER EYE CENTER PC
Practice address
2317 Memorial Pkwy SW Ste 400
Huntsville, AL 35801-5856
Phone
(256) 808-2000
Fax
(256) 964-7228
NPI assigned
Jun 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Danny Kim Lee, MDNPI 1851350995
Title
Owner
Phone
(404) 694-7967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD.26750 AL Primary

Addresses

Primary practice location

2317 Memorial Pkwy SW Ste 400
Huntsville, AL 35801-5856

Mailing address

135 Coveshire PL
Madison, AL 35758-3150
Phone (404) 694-7967

Other practice location 1

135 Coveshire Pl
Madison, AL 35758-3150
Phone (404) 694-7967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106000738 AL Part B Supplier - Clinic/Group Practice 2769792548 Receives reassigned benefits from 6 practitioners
Practice locations: Decatur, AL; Florence, AL; Huntsville, AL; Scottsboro, AL

National Provider Directory

National Provider Directory
Tax ID family
Laser Eye Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4601 Whitesburg Dr SE
Ste 103
Huntsville, AL 35802
Phone (256) 265-7957

2317 Memorial Pkwy SW
Huntsville, AL 35801

34 Hughes Rd
Madison, AL 35758
Phone (256) 461-9114

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1326420258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COVESHIRE PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583150",
            "telephone_number": "404-694-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015856",
            "telephone_number": "256-808-2000",
            "fax_number": "256-964-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Coveshire Pl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583150",
            "country_code": "US",
            "telephone_number": "404-694-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LASER EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-694-7967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.26750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.