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EYE SURGICAL ASSOCIATES P C
NPI 1669648879
Ophthalmology in Dothan, AL

Active since May 07, 2008CLIA 01D2113682 · Waiver
2664 HARTFORD HWY, DOTHAN, AL 36305(334) 699-2244(334) 699-2245 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eye Surgical Associates P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE SURGICAL ASSOCIATES P C (NPI 1669648879) is a healthcare organization registered as an ophthalmology in Dothan, Alabama and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists John Kenneth Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1669648879
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE SURGICAL ASSOCIATES P C
Location Address2664 HARTFORD HWYDothan, AL 36305-4904
Mailing Address2664 Hartford HwyDothan, AL 36305-4904 · (334) 699-2244 · Fax (334) 699-2245
Phone(334) 699-2244
Fax(334) 699-2245
Organization SubpartNo
Authorized OfficialJohn Kenneth WallacePresident · (334) 699-2244
Enumeration DateMay 7, 2008
Last NPPES UpdateNovember 17, 2011
✔ NPI 1669648879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AL · 13178
Definition
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.
2664 HARTFORD HWY, Dothan, AL 36305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 01D2113682

Eye Surgical Associates · Dothan, AL
Active · expires May 26, 2028
CLIA Number01D2113682
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorJohn K. Wallace MD
Laboratory Phone(334) 699-2244
Laboratory LocationEye Surgical Associates2664 Hartford Hwy, Dothan, AL 36305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM TIMOTHY GANNON M.D.
Ophthalmology
2664 HARTFORD HWY
DOTHAN, AL 36305
Houston County (334) 699-2244
DR. JOHN K WALLACE MD
Ophthalmology
2664 HARTFORD HWY
DOTHAN, AL 36305
Houston County (334) 699-2244

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 Eye Surgical Associates P C's NPI number?

The NPI number for Eye Surgical Associates P C is 1669648879. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Eye Surgical Associates P C located?

Eye Surgical Associates P C is located at 2664 Hartford Hwy, Dothan, AL 36305. The listed phone number is (334) 699-2244.

What is Eye Surgical Associates P C's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Eye Surgical Associates P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2113682) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Surgical Associates P C accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Eye Surgical Associates P C 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 Eye Surgical Associates P C was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.