MONTGOMERY EYE SURGERY CENTER
NPI 1053510933
Clinic/Center - Ambulatory Surgical in Montgomery, AL

NPI Status: Active since July 12, 2007

Contact Information

2752 ZELDA RD
MONTGOMERY, AL
ZIP 36106
Phone: (334) 270-6977
Fax: (334) 213-0622

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 01D0922005
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 11-11-2026

About MONTGOMERY EYE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Montgomery Eye Surgery Center, a provider established in Montgomery, Alabama operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1053510933 assigned on July 2007. The practitioner's primary taxonomy code is 261QA1903X with license number U5103 (AL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Montgomery Eye Surgery Center. The authorized official of this NPI record is Mr. Phillip A Clendenin (President)

NPI
1053510933
Provider Legal Name
MONTGOMERY EYE SURGERY CENTER LLC
Other Organization Name
MONTGOMERY EYE SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2752 ZELDA RD MONTGOMERY, AL 36106
Location Phone
(334) 270-6977
Location Fax
(334) 213-0622
Mailing Address
2752 ZELDA RD MONTGOMERY, AL 36106
Mailing Phone
(334) 270-6977
Mailing Fax
(334) 213-0622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2007
Last Update Date
09-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
U5103
License State
AL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PHILLIP A CLENDENIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 665-1283

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0922005
Facility Type
Other
Certificate Effective Date
November 12, 2024
Certificate Expiration Date
November 11, 2026
Laboratory Director
FRANK YOUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Montgomery Eye Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053510933, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 1 + 0 + 9 + 6 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053510933.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Optometrist
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106
Technician/Technologist (Optician)
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106
Eyewear Supplier
2752 ZELDA RD
MONTGOMERY, AL 36106
Clinic/Center (Ambulatory Surgical)
2752 ZELDA RD
MONTGOMERY, AL 36106
Nurse Anesthetist, Certified Registered
2752 ZELDA RD
MONTGOMERY, AL 36106
Optometrist
2752 ZELDA RD
MONTGOMERY, AL 36106
Optometrist
2752 ZELDA RD
MONTGOMERY, AL 36106
Ophthalmology
2752 ZELDA RD
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053510933, enumerated as an "organization" on July 12, 2007.

The provider is located at 2752 ZELDA RD MONTGOMERY, AL 36106 and the phone number is (334) 270-6977.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.