Organization Active NPI

Eye Center Surgeons & Assoc LLC

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1497765721
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CENTER SURGEONS & ASSOC LLC
Practice address
401 Meridian St N
200
Huntsville, AL 35801-4720
Phone
(256) 705-3937
NPI assigned
Aug 9, 2006
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Mrs. Laurie J Guido
Title
Business Manager
Phone
(256) 705-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

401 Meridian St N
200
Huntsville, AL 35801-4720

Mailing address

401 Meridian St N
200
Huntsville, AL 35801-4720
Phone (256) 705-3937

Other practice location 1

1041 Balch Rd Ste 110
Madison, AL 35758-8822
Phone (256) 705-3937

Other identifiers 6

IdentifierTypeStateIssuer
000008502OtherMEDICARE PROVIDER
000009396OtherMEDICARE PROVIDER
7077960001OtherALMEDICARE
000008474OtherMEDICARE PROVIDER
000009077OtherMEDICARE PROVIDER
051507443OtherMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050502000155 AL Part B Supplier - Clinic/Group Practice 5193764975 Receives reassigned benefits from 7 practitioners
Practice locations: Huntsville, AL; Madison, AL
O20140514000591 AL DME Supplier - Physician - OphthalmologyDME Supplier - Optician 5193764975 Practice locations: Huntsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Olde Town Optical401 Meridian St, Huntsville, AL 35801-4719(256) 705-3937 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory

Locations

1041 Balch Rd
Ste 110
Madison, AL 35758
Phone (256) 539-8851

700 Maple St W
Fayetteville, TN 37334
Phone (800) 232-9083

Interoperability endpoints

  • Direct secure messaging: dmalone@tecsal.intellechartdirect.net
  • Direct secure messaging: dturner@tecsal.intellechartdirect.net
  • Direct secure messaging: pfrederick@tecsal.intellechartdirect.net
  • Direct secure messaging: rfoster@tecsal.intellechartdirect.net
  • Direct secure messaging: rstevens@tecsal.intellechartdirect.net
  • Direct secure messaging: whubickey@tecsal.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1497765721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-705-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-705-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Balch Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588822",
            "country_code": "US",
            "telephone_number": "256-705-3937",
            "fax_number": "256-533-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CENTER SURGEONS & ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "256-705-3937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000008502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000009396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7077960001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000008474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000009077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "051507443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.