OrganizationActive
Eye Surgical Associates P C
NPI 1669648879 · Ophthalmology Physician · Dothan, AL
Provider details
- NPI number
- 1669648879
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Wallace, President(334) 699-2244
- License
- 13178 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2664 Hartford Hwy
Dothan, AL 36305-4904
Phone: (334) 699-2244
Fax: (334) 699-2245
Approximate (ZIP-level) locationGet directions
Mailing address
2664 Hartford Hwy
Dothan, AL 36305-4904
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2011-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.