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Contact Information

EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.
111 W MAIN ST
DOTHAN, AL36301
 Phone: 334-794-1175
 Fax: 334-793-0619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.

NPI Number 1689768038
LBN Legal business name EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.
Authorized official WILLIAM FEAGIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 11/05/2008 - About 18 years ago
Identifiers
AL License # S-429-TA-034
AL Medicaid 000059835
AL Other 59835 BCBS OF ALABAMA
AL Other 410022118 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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