Organization Active NPI

East Alabama Eye Associates,Inc.

  • Optometrist
  • Auburn, AL
National Provider Identifier
1619249836
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-556-TA-036 Issued in AL
Legal business name
EAST ALABAMA EYE ASSOCIATES,INC.
Practice address
923 Stage Road
Suite a
Auburn, AL 36830-5112
Phone
(334) 821-3700
Fax
(334) 821-3776
NPI assigned
Feb 3, 2012
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Randy Steven Fields, O.D.NPI 1801905799
Title
Optometrist
Phone
(334) 821-3700

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
Optometrist 152W00000X S-556-TA-036 AL Primary

Addresses

Primary practice location

923 Stage Road
Suite a
Auburn, AL 36830-5112

Mailing address

923 Stage Rd
Suite a
Auburn, AL 36830-5109
Phone (334) 821-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000783 AL Part B Supplier - Clinic/Group Practice 3870752199 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, AL

National Provider Directory

National Provider Directory

Locations

923 Stage Rd
Ste A
Auburn, AL 36830
Phone (334) 821-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1619249836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 STAGE RD",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305109",
            "telephone_number": "334-821-3700",
            "fax_number": "334-821-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 STAGE ROAD",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305112",
            "telephone_number": "334-821-3700",
            "fax_number": "334-821-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA EYE ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "334-821-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-556-TA-036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.