Provider Demographics
NPI:1801963046
Name:2020 OPHTHALMIC ASSOCIATES, P.C.
Entity type:Organization
Organization Name:2020 OPHTHALMIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-286-2020
Mailing Address - Street 1:2020 NORMANDIE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2734
Mailing Address - Country:US
Mailing Address - Phone:334-286-2020
Mailing Address - Fax:334-286-2029
Practice Address - Street 1:2020 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2734
Practice Address - Country:US
Practice Address - Phone:334-286-2020
Practice Address - Fax:334-286-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC75155Medicare UPIN
ALE82891Medicare UPIN
AL3803960001Medicare NSC
ALC75178Medicare UPIN
ALD441Medicare ID - Type Unspecified2020 OPHTHALMIC ASSOC