RETINA SPECIALISTS OF WEST ALABAMA LLC (NPI# 1528150851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528150851 |
| Entity Type | Organization |
| Organization Name | RETINA SPECIALISTS OF WEST ALABAMA LLC |
| Practice Address |
500 Hargrove Rd E Tuscaloosa AL 35401-3751 |
| Mailing Address |
2101 Highland Ave S Ste 350 Birmingham AL 35205-4009 |
| Practice Telephone | 2053430003 |
| Practice Fax Number | 2053430029 |
| Mailing Telephone | 2055582525 |
| Mailing Fax Number | 2055582554 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | SAMUEL WAYNE TAYLOR JR. (MEMBER) |
| Authorized Official Telephone | 2053430003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529931100 | 05 |
| Street Address |
500 HARGROVE RD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568491017 | Samuel Wayne Taylor Jr. | Ophthalmology | 500 Hargrove Rd E, Tuscaloosa, AL 35401-3751 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285636 | Richard Minton Feist Jr. | Ophthalmology | 700 18th St S Ste 707, Birmingham, AL 35233-3806 | 2014-04-16 |
| 1356343917 | Jeffrey J Fuller | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2005-08-12 |
| 1124114863 | Larry Dale Brown | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2006-10-04 |
| 1437194867 | Retina Specialists of Alabama LLC | Ophthalmology | 2208 University Blvd Ste 101, Birmingham, AL 35233-2313 | 2006-06-19 |
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on RETINA SPECIALISTS OF WEST ALABAMA LLC.
| 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.