NPIMap

Organization Active NPI

Eye Health Partners of Alabama Inc

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1619923745
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE HEALTH PARTNERS OF ALABAMA INC
Practice address
250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone
(205) 943-4600
Fax
(205) 943-4688
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Jack C Caddell
Title
Manger
Phone
(205) 943-4604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

250 State Farm Pkwy
Birmingham, AL 35209-7181

Mailing address

200 Wildwood Pkwy Ste 100B
Birmingham, AL 35209-7300
Phone (205) 943-4600

Other practice location 1

605 Medical Center Pkwy Ste A
Boaz, AL 35957-5937
Phone (256) 279-0817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000240 AL Part B Supplier - Clinic/Group Practice 4385530740 Receives reassigned benefits from 20 practitioners
3 other NPIs on this enrollment
Practice locations: Homewood, AL; Huntsville, AL; Madison, AL; Oxford, AL; Pelham, AL; Scottsboro, AL; Tuscaloosa, AL; Winfield, AL…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2349 Danville Rd SW
Ste 410
Decatur, AL 35603
Phone (256) 353-2392

1150 Eagletree Ln SW
Huntsville, AL 35801

300 Clinton Ave W
Huntsville, AL 35801

100 Providence Main St NW
Ste 1E
Huntsville, AL 35806
Phone (256) 382-2700

3519 Watermelon Rd
Northport, AL 35473
Phone (205) 345-1520

308 6th St S
Ste 105
Oneonta, AL 35121
Phone (205) 625-5520

1723 Cogswell Ave
Pell City, AL 35125
Phone (205) 884-2020

7063 Veterans Pkwy
#110
Pell City, AL 35125

7067 Veterans Pkwy
Ste 110
Pell City, AL 35125
Phone (205) 388-5631

300 East St N
Ste F
Talladega, AL 35160
Phone (256) 362-5800

606 S George Wallace Dr
Troy, AL 36081
Phone (334) 566-2020

971 Fairfax Park
Ste D
Tuscaloosa, AL 35406
Phone (205) 561-6200

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1619923745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILDWOOD PKWY STE 100B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097300",
            "telephone_number": "205-943-4600",
            "fax_number": "256-459-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Medical Center Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575937",
            "country_code": "US",
            "telephone_number": "256-279-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE HEALTH PARTNERS OF ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "205-943-4604"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.