NPIMap

Organization Active NPI

Eye Partners PC

  • Ophthalmology Physician
  • Dothan, AL
National Provider Identifier
1902837453
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PARTNERS PC
Practice address
2800 Ross Clark Circle
Dothan, AL 36301
Phone
(334) 793-2211
Fax
(334) 793-7161
NPI assigned
Jul 5, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Dr. Marnix E Heersink, MDNPI 1598794273
Title
President
Phone
(334) 793-2211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2800 Ross Clark Circle
Dothan, AL 36301

Mailing address

2800 Ross Clark Circle
Dothan, AL 36301
Phone (334) 793-2211

Other practice location 1

162 E Broad St
Camilla, GA 31730-1841
Phone (229) 336-8991

Other identifiers 2

IdentifierTypeStateIssuer
529903390MedicaidAL
CG3904OtherRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505001088 FL Part B Supplier - Clinic/Group Practice 8123016334 Receives reassigned benefits from 13 practitioners
Practice locations: Destin, FL; Marianna, FL; Panama City, FL; Tallahassee, FL
O20050912000987 AL Part B Supplier - Clinic/Group Practice 8123016334 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
Practice locations: Wetumpka, AL; Troy, AL; Montgomery, AL; Enterprise, AL; Dothan, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2826 Ross Clark Cir
Ste 102
Dothan, AL 36301
Phone (334) 793-2633

607 Boll Weevil Cir
#C
Enterprise, AL 36330
Phone (334) 347-6599

607C Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-6599

10200 US Highway 231
Wetumpka, AL 36092
Phone (334) 567-7722

151 Regions Way
Destin, FL 32541

151 Regions Way
Bldg 1
Destin, FL 32541
Phone (850) 650-6550

4340 Lafayette St
Marianna, FL 32446
Phone (850) 482-2336

2401 State Ave
Panama City, FL 32405
Phone (850) 747-1818

1905 Capital Cir NE
#N
Tallahassee, FL 32308

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1902837453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIRCLE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-2211",
            "fax_number": "334-793-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIRCLE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-2211",
            "fax_number": "334-793-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Camilla",
            "state": "GA",
            "postal_code": "317301841",
            "country_code": "US",
            "telephone_number": "229-336-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "HEERSINK",
        "authorized_official_first_name": "MARNIX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-793-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529903390",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CG3904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.