Provider Demographics
NPI:1144196262
Name:OPHTHALMIC SURGICAL PARTNERS, LLC
Entity type:Organization
Organization Name:OPHTHALMIC SURGICAL PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-565-2174
Mailing Address - Street 1:401 MERIDIAN ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4719
Mailing Address - Country:US
Mailing Address - Phone:256-705-3937
Mailing Address - Fax:256-533-3213
Practice Address - Street 1:8425 WANN DR NW
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9534
Practice Address - Country:US
Practice Address - Phone:256-705-3937
Practice Address - Fax:256-533-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty