Provider Demographics
NPI:1750688941
Name:THE EYE DOCTOR,LLC
Entity Type:Organization
Organization Name:THE EYE DOCTOR,LLC
Other - Org Name:STEVEN R FIELDS,O.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:334-740-9048
Mailing Address - Street 1:923 STAGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5112
Mailing Address - Country:US
Mailing Address - Phone:334-740-9048
Mailing Address - Fax:334-821-3776
Practice Address - Street 1:923 STAGE RD
Practice Address - Street 2:STE A
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5109
Practice Address - Country:US
Practice Address - Phone:334-821-3700
Practice Address - Fax:334-821-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS 556152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009952480Medicaid
AL000058001Medicaid
AL009952480Medicaid