Organization Active NPI

Premier Eye Associates at Auburn Mall, LLC

  • Optometrist
  • Auburn, AL
National Provider Identifier
1659947729
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PREMIER EYE ASSOCIATES AT AUBURN MALL, LLC
Practice address
1627 Opelika Rd Ste 23
Auburn, AL 36830-2827
Phone
(334) 591-1176
Fax
(334) 539-5391
NPI assigned
May 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Dr. Anthony Spina, ODNPI 1265841266
Title
Manager, Owner
Phone
(334) 734-2044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1627 Opelika Rd Ste 23
Auburn, AL 36830-2827

Mailing address

2900 E University Dr Ste 110
Auburn, AL 36830-7729
Phone (334) 539-5391

National Provider Directory

National Provider Directory

Locations

1627 Opelika Rd
Ste 23
Auburn, AL 36830
Phone (334) 591-1176

2900 E University Dr
Ste 23
Auburn, AL 36830

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": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1659947729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E UNIVERSITY DR STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307729",
            "telephone_number": "334-539-5391",
            "fax_number": "334-539-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OPELIKA RD STE 23",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302827",
            "telephone_number": "334-591-1176",
            "fax_number": "334-539-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE ASSOCIATES AT AUBURN MALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER, OWNER",
        "authorized_official_telephone_number": "334-734-2044",
        "authorized_official_name_prefix": "Dr.",
        "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 Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.