Advanced Eyecare of Madison, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ADVANCED EYECARE OF MADISON, P.C.

Practice address

102 Intercom Drive
Madison, AL 35758-2638

Phone

(256) 772-2929

Fax

(256) 772-2928

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Amy Sanderson, O.D.NPI 1669477824

Title

Optometrist/President

Phone

(256) 772-2929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Sanderson, O.D.

  • Optometrist
  • Madison, AL
  • NPI 1669477824
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon James Alderton

  • Optometrist
  • Madison, AL
  • NPI 1407464043
  Medicare reassignment Care Compare group NPD
• Jessica Baldwin Norris, O.D.

  • Optometrist
  • New Market, AL
  • NPI 1972612141
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1548265705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 INTERCOM DRIVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582638",
            "telephone_number": "256-772-2929",
            "fax_number": "256-772-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 INTERCOM DRIVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582638",
            "telephone_number": "256-772-2929",
            "fax_number": "256-772-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE OF MADISON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "256-772-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Madison, AL
• Providers in Madison, AL by specialty
• Eyewear Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.