Retina Specialists Of West Alabama Llc

LBN: Retina Specialists Of West Alabama Llc
Retina Specialists Of West Alabama Llc is an health care organization with primary practice located at 500 Hargrove Rd E , Tuscaloosa AL 35401-3751. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Retina Specialists Of West Alabama Llc can be contacted via phone (205) 343-0003, or through Taylor, Samuel Wayne via phone (205) 343-0003.

Contact Information

Primary practice address
500 Hargrove Rd E Tuscaloosa AL 35401-3751
Phone: (205) 343-0003
Fax: (205) 343-0029
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Samuel Wayne Doctor of Medicine (MD)
Phone: (205) 343-0003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1528150851
LBN Legal business name Retina Specialists Of West Alabama Llc
DBA Doing business as
Authorized official Taylor, Samuel Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated May 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528150851 NPPES
Alabama MEDICAID 529931100

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