Organization Active NPI

Alpha Ambulatory Surgery Inc.

  • Ophthalmologic Surgery Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1487642195
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
829 Issued in FL
Legal business name
ALPHA AMBULATORY SURGERY INC.
Practice address
2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4390
Phone
(850) 385-0033
Fax
(850) 422-0201
NPI assigned
Oct 7, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ALPHA EYE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Issac Moore, M.D.
Title
President
Phone
(850) 385-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 829 FL Primary

Addresses

Primary practice location

2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4390

Mailing address

PO Box 13029
Tallahassee, FL 32317-3029
Phone (850) 385-0033

National Provider Directory

National Provider Directory
Part of
Alpha Eye Clinic

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1487642195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13029",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173029",
            "telephone_number": "850-385-0033",
            "fax_number": "850-422-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 CAPITAL CIR NE",
            "address_2": "SUITE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084390",
            "telephone_number": "850-385-0033",
            "fax_number": "850-422-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AMBULATORY SURGERY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA EYE CLINIC",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-385-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "FL",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.