Healthcare Provider Details

I. General information

NPI: 1144196262
Provider Name (Legal Business Name): OPHTHALMIC SURGICAL PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8425 WANN DR NW STE 102
MADISON AL
35758-9534
US

IV. Provider business mailing address

401 MERIDIAN ST N STE 200
HUNTSVILLE AL
35801-4719
US

V. Phone/Fax

Practice location:
  • Phone: 256-849-2015
  • Fax: 256-849-2016
Mailing address:
  • Phone: 256-705-3937
  • Fax: 256-533-3213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT C FOSTER
Title or Position: OWNER/DIRECTOR
Credential: MD
Phone: 256-565-2174