ANDALUSIA EYE CLINIC LLC (NPI# 1629133111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629133111 |
| Entity Type | Organization |
| Organization Name | ANDALUSIA EYE CLINIC LLC |
| Practice Address |
1860 E Three Notch St Andalusia AL 36421-2404 |
| Mailing Address |
Po Box 1517 Andalusia AL 36420-1226 |
| Practice Telephone | 3342222020 |
| Mailing Telephone | 3342222020 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | DR. JAMES H TILLMAN JR. (OWNER) |
| Authorized Official Telephone | 3342222020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 00025149 | AL | Allopathic & Osteopathic Physicians |
| Y | 152W00000X | Optometrist | S620TA088 | AL | Eye and Vision Services Providers |
| Street Address |
1860 E THREE NOTCH ST |
| City | ANDALUSIA |
| State | AL |
| Zip Code | 36421-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164598215 | James H Tillman Jr. | Optometrist | 1860 E Three Notch St, Andalusia, AL 36421-2404 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821114216 | Covington County | Local Education Agency (LEA) | 807 C C Baker Ave, Andalusia, AL 36421-2137 | 2007-03-21 |
| 1841445996 | Cheryl Ann Blanck | Chiropractor | 1805 E Three Notch St, Suite 1, Andalusia, AL 36421-2403 | 2008-11-17 |
| 1649235706 | Comfort Care Hospice, LLC | Hospice Care, Community Based | 1805 3 East Three Notch Street, Andalusia, AL 36421-2403 | 2006-04-19 |
| 1780676601 | Mri of Andalusia LLC | Radiology | 1823 E Three Notch St, Andalusia, AL 36421-2403 | 2005-08-17 |
| 1578794418 | Andalusia Chiropractic, Inc. | Chiropractor | 1805 E Three Notch St, Suite 1, Andalusia, AL 36421-2403 | 2009-07-27 |
| 1508470899 | Healthworks Medical Group of Alabama P C | Clinic/Center | 200 Waits Dr, Andalusia, AL 36421-2431 | 2020-09-03 |
| 1184258485 | Southern Comfort In-home Care | Homemaker | 26091 Shoemaker Rd, Andalusia, AL 36421-5903 | 2020-02-25 |
| 1710094982 | Carmelita M Day | Nurse Anesthetist, Certified Registered | 11345 Brooklyn Rd, Andalusia, AL 36421-6407 | 2006-08-24 |
| 1063699965 | Albert Bennette St. John | Obstetrics & Gynecology | 21075 Rabren Rd, Andalusia, AL 36421-8115 | 2008-01-23 |
| 1275893463 | Cynthia Leigh Tisdale | Physical Therapy Assistant | 19163 Messick Loop, Andalusia, AL 36421-8351 | 2012-05-21 |
| Find all providers in zip 36421 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306152624 | James L Barton LLC | Optometrist | 500 Westgate Plaza, Andalusia, AL 36420 | 2010-08-24 |
| 1710028618 | Kenny R Blackston Od PC | Optometrist | 106 Hillcrest Dr, Andalusia, AL 36420-2562 | 2007-02-12 |
| 1164598215 | James H Tillman Jr. | Optometrist | 1860 E Three Notch St, Andalusia, AL 36421-2404 | 2006-11-28 |
| 1083929020 | James L Barton | Optometrist | 500 Westgate Plz, Andalusia, AL 36420-2525 | 2010-08-14 |
| 1043312499 | Richard Henry Merrill | Optometrist | 406 E Three Notch St, Andalusia, AL 36420-3166 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1932727120 | Justin Michael Kendall | Optometrist | 5850 A Us Hwy 431, Albertville, AL 35950 | 2020-07-14 |
| 1457978504 | Sadiksha Prasain | Optometrist | 616 Northmoor Ln, Homewood, AL 35209-6422 | 2020-07-05 |
| 1447875919 | Brookstone Optical LLC | Optometrist | 4760 Eastern Valley Rd Ste 132, Mc Calla, AL 35111-3460 | 2020-06-10 |
| 1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
| 1023630985 | Southern Vision Eye Care | Optometrist | 308 6th St S Ste 105, Oneonta, AL 35121-1842 | 2020-05-14 |
| 1033745773 | Ashley Ott Od LLC | Optometrist | 21530 Professional Dr Ste D, Robertsdale, AL 36567-9911 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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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.