East Alabama Eye Clinic of Anniston, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EAST ALABAMA EYE CLINIC OF ANNISTON, PC

Practice address

1029 Christine Ave
Anniston, AL 36207-5709

Phone

(256) 237-0371

Fax

(256) 236-4181

NPI assigned

Oct 26, 2006

Reactivated

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Kent C Keys, MDNPI 1760572960

Title

Secretary

Phone

(256) 237-0371

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

Practitioners 3

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.

• Kent Calhoun Keys, MD

  • Ophthalmology Physician
  • Anniston, AL
  • NPI 1760572960
  Medicare reassignment Care Compare group NPD Authorized official
• Amie Marsh, O. D.

  • Optometrist
  • Anniston, AL
  • NPI 1265817902
  Medicare reassignment Care Compare group NPD
• David Sidney Lewis, MD

  • Ophthalmology Physician
  • Pell City, AL
  • NPI 1003801473
  Medicare reassignment NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1841375896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075709",
            "telephone_number": "256-237-0371",
            "fax_number": "256-236-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075709",
            "telephone_number": "256-237-0371",
            "fax_number": "256-236-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA EYE CLINIC OF ANNISTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-12",
        "certification_date": "2023-03-01",
        "deactivation_date": "2024-07-25",
        "reactivation_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "256-237-0371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528601110",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Cheryl Dubois, CRNP
• Alexandria Dugger
• Barry Edward Dunston, COTA
• Hanna Dyar
• E. Patrick Harrison As DC Inc
• East Alabama Regional Planning and Development Commission
• East Central Alabama United Cerebral Palsy Inc
• Johnna Darlene Edge, CRNP
• Jeremy Edison
• James Burnsides Edwards, LPC

• Ophthalmology Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.