Organization Active NPI

Dothan Ophthalmology

  • Ophthalmology Physician
  • Dothan, AL
National Provider Identifier
1467511626
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25880 Issued in AL
Legal business name
DOTHAN OPHTHALMOLOGY
Practice address
1750 W Main St
Dothan, AL 36301-1318
Phone
(334) 793-1070
Fax
(334) 793-5114
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Dr. Joseph H Sugg Jr., MDNPI 1538154968
Title
President
Phone
(334) 793-1070

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 25880 AL Primary

Addresses

Primary practice location

1750 W Main St
Dothan, AL 36301-1318

Mailing address

1750 W Main St
Dothan, AL 36301-1318
Phone (334) 793-1070

Other identifiers 3

IdentifierTypeStateIssuer
51521882OtherALBCBS
051554697MedicaidAL
529920110MedicaidAL

National Provider Directory

National Provider Directory

Locations

4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564

Practitioners & affiliated clinicians

Practitioners 3

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1467511626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011318",
            "telephone_number": "334-793-1070",
            "fax_number": "334-793-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011318",
            "telephone_number": "334-793-1070",
            "fax_number": "334-793-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SUGG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-793-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "25880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51521882",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554697",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529920110",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.