EYECARE ASSOCIATES, INC. NPI 1417000225

Eyewear Supplier in Hueytown, AL

NPI 1417000225 Organization Eyewear Supplier Medicare Supplier Accepts Medicare Approved Payment CLIA Number 01D2168161 CLIA Certificate of Waiver

About EYECARE ASSOCIATES, INC.

Eyecare Associates, Inc. is a provider established in Hueytown, Alabama specializing in eyewear supplier. The NPI number of Eyecare Associates, Inc. is 1417000225 and was assigned on January 2007. The practitioner's primary taxonomy code is 332H00000X with license number S830TA369 (AL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jeffrey D Hill Od (Doctor)

Eyecare Associates, Inc. is a medicare supplier with PTAN 1074080003 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Prosthetics Cataract Lenses or Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

The CLIA number of Eyecare Associates, Inc. is 01D2168161 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Eyecare Associates, Inc. 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.

NPI

1417000225

Provider NameEYECARE ASSOCIATES, INC.
Provider Location Address3099 ALLISON BONNETT MEMORIAL DR HUEYTOWN, AL 35023
Provider Mailing AddressPO BOX 207243 DALLAS, TX 75320
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-18-2007
Last Update Date06-21-2019


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
License No.S830TA369
License StateAL
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

EYECARE ASSOCIATES, INC.
3099 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023
Phone: (636) 200-4393
Fax: (205) 491-8757

Get Directions


Mailing Address

EYECARE ASSOCIATES, INC.
PO BOX 207243
DALLAS, TX
ZIP 75320
Phone: (636) 200-4393
Fax: (636) 527-0766



Authorized Official

Authorized Official Name JEFFREY D HILL OD
Authorized Official TitleDOCTOR
Authorized Official Phone(205) 491-8755

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN1074080003
Accepts Medicare AssignmentYES
Specialities ListOptometrist.
Supplies List
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Competitive BiddingNO

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 the NPI number 1417000225 is:

CLIA Number01D2168161
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
529601070MEDICAID (05)AL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073505657 CHESTER THOMAS CROOKS
Individual
Optometrist3099 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-8755
1962485052DR. JEFFREY D HILL OD
Individual
Optometrist3099 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-8755
1538644117DR. DREW W GANN OD, MS
Individual
Optometrist3099 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-8755

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.