MONTGOMERY EYE SURGERY CENTER
NPI 1053510933
Clinic/Center - Ambulatory Surgical in Montgomery, AL
About Montgomery Eye Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTGOMERY EYE SURGERY CENTER (NPI 1053510933) is a healthcare organization registered as an ambulatory surgical in Montgomery, Alabama and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Phillip A Clendenin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Montgomery Eye Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Montgomery Eye Surgery Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D0922005
Montgomery Eye Surgery Center · Montgomery, ALFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Montgomery Eye Surgery Center LLC's NPI number?
The NPI number for Montgomery Eye Surgery Center LLC is 1053510933. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Montgomery Eye Surgery Center.
Where is Montgomery Eye Surgery Center LLC located?
Montgomery Eye Surgery Center LLC is located at 2752 Zelda Rd, Montgomery, AL 36106. The listed phone number is (334) 270-6977.
What is Montgomery Eye Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Montgomery Eye Surgery Center LLC enrolled in Medicare?
Yes. Montgomery Eye Surgery Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Montgomery Eye Surgery Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Montgomery Eye Surgery Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Montgomery Eye Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0922005) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Montgomery Eye Surgery Center LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Montgomery Eye Surgery Center · NPI 1053510933
Ambulatory Surgical organization in Montgomery, Alabama. Organization record, active in the CMS NPPES registry since July 12, 2007.
## Identity
- **NPI:** 1053510933 (Entity type: Organization)
- **Enumerated:** July 12, 2007
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Montgomery Eye Surgery Center Llc
- **Organization subpart:** No
- **Authorized official:** Phillip Clendenin, PRESIDENT
## Practice location
- **Address:** 2752 ZELDA RD, Montgomery, AL 36106-2694
- **Phone:** (334) 270-6977 · **Fax:** (334) 213-0622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053510933) · Data from the CMS NPPES public registry.