Provider Demographics
NPI:1558091033
Name:EYE SURGERY CENTER OF NORTH ALABAMA, INC.
Entity Type:Organization
Organization Name:EYE SURGERY CENTER OF NORTH ALABAMA, INC.
Other - Org Name:NORTH ALABAMA ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-428-3937
Mailing Address - Street 1:3501 MEMORIAL PKWY SW STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6900
Mailing Address - Country:US
Mailing Address - Phone:256-428-3240
Mailing Address - Fax:256-428-3250
Practice Address - Street 1:3501 MEMORIAL PKWY SW STE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6900
Practice Address - Country:US
Practice Address - Phone:256-428-3937
Practice Address - Fax:256-428-3228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE SURGERY CENTER OF NORTH ALABAMA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-16
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty