Organization Active NPI

North Alabama Eye Care P.C.

  • Medical Specialty Clinic/Center
  • Scottsboro, AL
National Provider Identifier
1871031948
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
R-229-TA-987 Issued in AL
Legal business name
NORTH ALABAMA EYE CARE P.C.
Practice address
24833 John T Reid Pkwy
Scottsboro, AL 35768-2342
Phone
(256) 574-5698
NPI assigned
Feb 8, 2017
Last updated
Jul 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Authorized official

Name
Dr. Mark David Taylor, O.D.NPI 1801027552
Title
Owner
Phone
(256) 574-5698

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
Medical Specialty Clinic/Center 261QM2500X R-229-TA-987 AL Primary

Addresses

Primary practice location

24833 John T Reid Pkwy
Scottsboro, AL 35768-2342

Mailing address

123 Corrine Drive
Madison, AL 35758-9777
Phone (256) 679-8970

Other practice location 1

14595 Highway 231 431 N
Hazel Green, AL 35750-9403
Phone (256) 828-0486

Other identifiers 1

IdentifierTypeStateIssuer
171716MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329001207 AL Part B Supplier - Clinic/Group Practice 4284072026 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsboro, AL

National Provider Directory

National Provider Directory

Locations

113 S Market St
Scottsboro, AL 35768
Phone (256) 259-9609

Practitioners & affiliated clinicians

Practitioners 2

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": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688256000000",
    "number": "1871031948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CORRINE DRIVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589777",
            "telephone_number": "256-679-8970",
            "fax_number": "256-289-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24833 JOHN T REID PKWY",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682342",
            "telephone_number": "256-574-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14595 Highway 231 431 N",
            "address_purpose": "LOCATION",
            "city": "Hazel Green",
            "state": "AL",
            "postal_code": "357509403",
            "country_code": "US",
            "telephone_number": "256-828-0486",
            "fax_number": "256-289-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH ALABAMA EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-574-5698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "R-229-TA-987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171716",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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.