NPIMap

Organization Active NPI

Alabama Ophthalmology Associates, P.C.

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1366484941
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C.
Practice address
1000 19TH St S
Birmingham, AL 35205-4804
Phone
(205) 930-0700
Fax
(205) 930-9127
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Frederick John Elsas, M.D.
Title
President
Phone
(205) 930-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1000 19TH St S
Birmingham, AL 35205-4804

Mailing address

1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700

Other identifiers 1

IdentifierTypeStateIssuer
528400500MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000994 AL Part B Supplier - Clinic/Group Practice 5193616035 Receives reassigned benefits from 11 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1600 7th Ave S
Ste 412
Birmingham, AL 35233
Phone (205) 969-1900

Interoperability endpoints

  • Direct secure messaging: kbains@aoapc.intellechartdirect.net
  • Direct secure messaging: wparker@aoapc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1366484941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "ELSAS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-930-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528400500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.