Organization Active NPI

Laser Eye Center PC

  • Ophthalmology Physician
  • Decatur, AL
National Provider Identifier
1366816696
Registry record updated Nov 24, 2015
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
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 PC2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.