Eye Surgery Center of Albany, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

047-325 Issued in GA

Legal business name

EYE SURGERY CENTER OF ALBANY, LLC

Practice address

2308 Palmyra Road
Albany, GA 31701-1324

Phone

(229) 888-2395

NPI assigned

Mar 15, 2006

Organization subpart

Yes

Parent organization

EYE PARTNERS PCAs reported in NPPES

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

Authorized official

Name

Marnix E Heersink, MDNPI 1598794273

Title

Chairman

Phone

(334) 793-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Eye Partners PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eye Partners PC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1205448586

  Member Of

  NPD member

Practitioners 1

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

• Marnix E Heersink, MD

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1598794273
  NPD Authorized official

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1689643322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 PALMYRA ROAD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011324",
            "telephone_number": "229-888-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 PALMYRA ROAD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011324",
            "telephone_number": "229-888-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF ALBANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PARTNERS PC",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "HEERSINK",
        "authorized_official_first_name": "MARNIX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "334-793-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "GA",
            "license": "047-325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY PERMIT NUMBER",
            "identifier": "047-325",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Ewiah, PHARM D
• Daphyne Marie Ewings, COTA/L
• Expressions - the Mind & Body'S Healing Connection
• Eye Doctors of Georgia
• Eye Surgery Center of Albany, LLC
• Jewel Jones Faison, PH.D.
• Faith by Faith Private Care Services
• Family Extended Care of Albany, Inc.
• Family First Medical Associates PC
• Family Life Counseling Center, Inc

• Ophthalmologic Surgery Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.