Andalusia Eye Clinic LLC
NPI 1629133111ActiveOrganization· Optometrist· Andalusia, AL
Optometrist in Andalusia, Alabama, registered in NPPES in December 2006. The authorized official on file is James H. Tillman, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629133111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2006 |
| Last updated in NPPES | Aug 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | S620TA088 | AL |
| Ophthalmology | 207W00000X | 00025149 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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