EAST ALABAMA OPTICAL SHOP, LLC (NPI# 1548663016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548663016 |
| Entity Type | Organization |
| Organization Name | EAST ALABAMA OPTICAL SHOP, LLC |
| Practice Address |
1805 Lakeside Cir Auburn AL 36830-2825 |
| Practice Telephone | 3343219700 |
| Practice Fax Number | 3343219694 |
| Mailing Telephone | 3343219700 |
| Mailing Fax Number | 3343219694 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. BERTRAND M. ANZ II (MANAGING MEMBER) |
| Authorized Official Telephone | 3348213838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1805 LAKESIDE CIR |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835431 | Medical Arts Eye Clinic, PC | Ophthalmology | 1805 Lakeside Cir, Auburn, AL 36830-2825 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676713 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Mount Auburn Ave, Auburn, ME 04210-8565 | 2020-10-12 |
| 1699249672 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1627 Opelika Rd, Auburn, AL 36830-2871 | 2019-01-14 |
| 1326545476 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 363 Center St, Auburn, ME 04210-6114 | 2018-04-06 |
| 1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
| 1497088702 | Longe Optical North Inc | Eyewear Supplier (Equipment, not the service) | 650 N Grandstaff Dr, Auburn, IN 46706-1661 | 2009-09-18 |
| 1922275593 | Pro Vision Center,inc | Eyewear Supplier (Equipment, not the service) | 550 Center St, Suite 9068, Auburn, ME 04210-6305 | 2008-05-13 |
| 1194872200 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 385 Sbridge St, Auburn Mall, Auburn, MA 01501-2498 | 2007-01-04 |
| 1801952312 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1579 Clark St, Fingerlakes Mall, Auburn, NY 13021-9710 | 2006-12-29 |
| 1548208986 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 297 Grant Ave, Auburn, NY 13021-1407 | 2006-06-04 |
| 1275571648 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 801 Auburn Way N, Auburn, WA 98002-4162 | 2006-06-04 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.