Organization Active NPI

Premier Eye Associates Prattville LLC

  • Optometrist
  • Prattville, AL
National Provider Identifier
1497559298
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PREMIER EYE ASSOCIATES PRATTVILLE LLC
Practice address
508 McQueen Smith Rd S
Prattville, AL 36066-5713
Phone
(334) 203-7933
Fax
(334) 203-7943
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Anthony Spina, ODNPI 1265841266
Title
Owner
Phone
(334) 203-7933

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

508 McQueen Smith Rd S
Prattville, AL 36066-5713

Mailing address

508 McQueen Smith Rd S
Prattville, AL 36066-5713
Phone (334) 203-7933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717002883 AL Part B Supplier - Clinic/Group Practice 8527574524 Receives reassigned benefits from 3 practitioners
Practice locations: Prattville, AL

National Provider Directory

National Provider Directory

Locations

2900 E University Dr
Auburn, AL 36830
Phone (334) 502-2416

508 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 203-7933

Practitioners & affiliated clinicians

Practitioners 3

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": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1497559298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MCQUEEN SMITH RD S",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665713",
            "telephone_number": "334-203-7933",
            "fax_number": "334-203-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MCQUEEN SMITH RD S",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665713",
            "telephone_number": "334-203-7933",
            "fax_number": "334-203-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE ASSOCIATES PRATTVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-203-7933",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.