SOUTHERN EYE SPECIALISTS PC
NPI 1316177488
Ophthalmology in Dothan, AL
- Organization
- Ophthalmology
- CLIA Number: 01D2276103
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-01-2027
About SOUTHERN EYE SPECIALISTS PC
This page provides the complete NPI Profile along with additional information for Southern Eye Specialists Pc, a provider established in Dothan, Alabama operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1316177488 assigned on July 2009. The practitioner's primary taxonomy code is 207W00000X with license number 16679 (AL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Andrew Frederic Dannemann Md (Md/president)
- NPI
- 1316177488 Verify this NPI
- Provider Name
- SOUTHERN EYE SPECIALISTS PC
- Entity Type
- Organization
- Location Address
- 1909 HONEYSUCKLE RD SUITE 2 DOTHAN, AL 36305
- Location Phone
- (334) 699-7100
- Mailing Address
- 1909 HONEYSUCKLE RD SUITE 2 DOTHAN, AL 36305
- Mailing Phone
- (334) 699-7100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2009
- Last Update Date
- 07-22-2009
- Code Navigator
Ophthalmologists like Southern Eye Specialists Pc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16679
- License State
- AL
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | MEDICAID (05) | AL | |
| PENDING | MEDICARE PIN (08) | AL |
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
- 01D2276103
- Facility Type
- Physician Office
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- KELLY E. BLAKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Eye Specialists Pc 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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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
DOTHAN, AL 36305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316177488, enumerated as an "organization" on July 22, 2009.
The provider is located at 1909 HONEYSUCKLE RD SUITE 2 DOTHAN, AL 36305 and the phone number is (334) 699-7100.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
