ANDALUSIA EYE CLINIC LLC
NPI 1629133111
Optometrist in Andalusia, AL
About Andalusia Eye Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDALUSIA EYE CLINIC LLC (NPI 1629133111) is a healthcare organization registered as an optometrist in Andalusia, Alabama and active in the NPI registry since December 2006. The organization lists James H Tillman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andalusia Eye Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Andalusia Eye Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Andalusia Eye Clinic LLC's NPI number?
The NPI number for Andalusia Eye Clinic LLC is 1629133111. It was assigned to this organization in the NPPES registry on December 26, 2006.
Where is Andalusia Eye Clinic LLC located?
Andalusia Eye Clinic LLC is located at 1860 E Three Notch St, Andalusia, AL 36421. The listed phone number is (334) 222-2020.
What is Andalusia Eye Clinic LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andalusia Eye Clinic LLC enrolled in Medicare?
Yes. Andalusia Eye Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andalusia Eye Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Andalusia Eye Clinic LLC, in Ophthalmology and Optometry. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Andalusia Eye Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Andalusia Eye Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andalusia Eye Clinic LLC was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Andalusia Eye Clinic Llc · NPI 1629133111
Optometrist organization in Andalusia, Alabama. Organization record, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1629133111 (Entity type: Organization)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** James Tillman, OWNER
## Practice location
- **Address:** 1860 E THREE NOTCH ST, Andalusia, AL 36421-2404
- **Phone:** (334) 222-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2015
- **Other identifiers:** Medicare UPIN T69089 (AL); Medicare UPIN H81609 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629133111) · Data from the CMS NPPES public registry.