Eye Care Associates of the Southeast, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-429-TA-034 Issued in AL

Legal business name

EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.

Practice address

111 W Main St
Dothan, AL 36301

Phone

(334) 794-1175

Fax

(334) 793-0619

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Heath Feagin, O.D.NPI 1235157371

Title

President

Phone

(334) 794-1175

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• EYE CARE ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• William H Feagin, O.D.

  • Optometrist
  • Dothan, AL
  • NPI 1235157371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1689768038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021846",
            "telephone_number": "334-794-1175",
            "fax_number": "334-793-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-794-1175",
            "fax_number": "334-793-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "FEAGIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-794-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-429-TA-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059835",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410022118",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "59835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Wilkinson Evans, M.D., D.M.D.
• David H Evans, MD
• John Evans Jr., NURSE PRACTITIONER
• Extended Care Medical Associates LLC
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• Eye Partners PC
• Eye Partners, PC
• Eye Surgical Associates P C

• Optometrist in Dothan, AL
• Providers in Dothan, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.