NPIMap

Organization Active NPI

Retina Specialists of Alabama in Montgomery LLC

  • Ophthalmology Physician
  • Montgomery, AL
National Provider Identifier
1851336226
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA SPECIALISTS OF ALABAMA IN MONTGOMERY LLC
Practice address
2055 Normandie Dr
Suite 314
Montgomery, AL 36111-2732
Phone
(334) 263-0105
Fax
(334) 264-4386
NPI assigned
Jun 18, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Michael Paige Massey, M.D.NPI 1659300101
Title
Managing Physcian
Phone
(334) 263-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2055 Normandie Dr
Suite 314
Montgomery, AL 36111-2732

Mailing address

1201 11TH Avenue South
Suite 300
Birmingham, AL 35205
Phone (205) 933-2625

Other identifiers 1

IdentifierTypeStateIssuer
1851336226MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000285 AL Part B Supplier - Clinic/Group Practice 1759314495 Receives reassigned benefits from 5 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

1201 11th Ave S
Ste 300
Birmingham, AL 35205

2101 Highland Ave S
Ste 500
Birmingham, AL 35205

2055 Normandie Dr
Ste 314
Montgomery, AL 36111
Phone (334) 263-0105

Interoperability endpoints

  • Direct secure messaging: eparma@rsam.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1851336226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVENUE SOUTH",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-933-2625",
            "fax_number": "205-558-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "address_2": "SUITE 314",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-263-0105",
            "fax_number": "334-264-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SPECIALISTS OF ALABAMA IN MONTGOMERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "MANAGING PHYSCIAN",
        "authorized_official_telephone_number": "334-263-0105",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851336226",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.