Healthcare Provider Details

I. General information

NPI: 1790613636
Provider Name (Legal Business Name): EYE CARE ASSOCIATES OF AL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MOORES MILL RD UNIT 220
AUBURN AL
36830-8482
US

IV. Provider business mailing address

3723 GREENVILLE AVE STE 41385
DALLAS TX
75206-5311
US

V. Phone/Fax

Practice location:
  • Phone: 334-521-7944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL OSNES
Title or Position: OWNER/BOARD MEMBER
Credential: OD
Phone: 866-523-7999