Individual provider Active NPI

Tom L Mitchell Jr., MD

  • Ophthalmology Physician
  • Montgomery, AL
National Provider Identifier
1013992239
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10329 Issued in AL
Practice address
2752 Zelda Rd
Montgomery, AL 36106-2694
Phone
(334) 271-3804
Fax
(334) 270-3375
NPI assigned
Dec 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10329 AL Primary

Addresses

Primary practice location

2752 Zelda Rd
Montgomery, AL 36106-2694

Mailing address

2752 Zelda Rd
Montgomery, AL 36106-2694
Phone (334) 271-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000852 AL Practitioner - Ophthalmology 1355314048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10329ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Eye Physicians P.C Ophthalmology CurrentSince Oct 18, 1995 Accepting new patients
Montgomery Eye Physicians P.C Ophthalmology CurrentSince Oct 18, 1995 Accepting new patients

Locations

2752 Zelda Rd
Montgomery, AL 36106
Phone (334) 270-9677

8131 Seaton Pl
Montgomery, AL 36116
Phone (334) 323-1889

645 McQueen Smith Rd N
Prattville, AL 36066
Phone (334) 361-7811

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013992239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062694",
            "telephone_number": "334-271-3804",
            "fax_number": "334-270-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062694",
            "telephone_number": "334-271-3804",
            "fax_number": "334-270-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TOM",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "10329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.