Active NPI
Laser Eye Center PC
- Ophthalmology Physician
- Decatur, AL
National Provider Identifier
1366816696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD.26750
- Legal business name
- LASER EYE CENTER PC
- Practice address
- 1238 13TH Ave SE
Decatur, AL 35601-4307 - Phone
- (256) 686-9000
- NPI assigned
- Nov 24, 2015
- Organization subpart
- Yes
- Parent organization
- LASER EYE CENTER PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Max Miller
- Title
- Billing Manager
- Phone
- (256) 562-0025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD.26750 | AL | Primary |
Addresses
Primary practice location
1238 13TH Ave SE
Decatur, AL 35601-4307
Mailing address
4601 Whitesburg Dr SE
Suite 103
Huntsville, AL 35802-1676
Phone (256) 808-2000
National Provider Directory
National Provider Directory- Tax ID family
- Laser Eye Center PC
- Part of
- Laser Eye Center PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Huntsville, AL
- NPI 1326420258
Locations
1238 13th Ave SE
Decatur, AL 35601
Phone (256) 355-3010
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ophthalmology Physician
- Huntsville, AL
- NPI 1326420258
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Huntsville, AL
- NPI 1851350995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1366816696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 WHITESBURG DR SE",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021676",
"telephone_number": "256-808-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 13TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014307",
"telephone_number": "256-686-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER EYE CENTER PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LASER EYE CENTER PC",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "256-562-0025"
},
"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 Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.