Individual provider Active NPI

Frank P. Larussa, OD

  • Optometrist
  • Homewood, AL
National Provider Identifier
1023129582
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S666 TA-112 Issued in AL
Practice address
209 Lakeshore Pkwy
Homewood, AL 35209-7105
Phone
(833) 733-8742
Fax
(205) 634-5640
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S666 TA-112 AL Primary

Addresses

Primary practice location

209 Lakeshore Pkwy
Homewood, AL 35209-7105

Mailing address

PO Box 59449
Birmingham, AL 35259-9449
Phone (205) 876-8988

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000929 AL Practitioner - Optometry 4284801655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians
TVPG LLCGroup PAC ID 0143762112, 24 clinicians

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

2010 Patton Chapel Rd
Suite 101
Hoover, AL 35216-5783
Phone (833) 733-8742

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S666 TA-112ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
Frank Larussa Optometry LLC Optometrist CurrentSince Dec 1, 2005 Accepting new patients
TVPG LLC Optometrist CurrentSince Dec 16, 2024 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 2, 2019 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jan 2, 2019 Accepting new patients
Colonnade Surgical Partners, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

3980 Colonnade Pkwy
Ste 101
Birmingham, AL 35243

209 Lakeshore Pkwy
Homewood, AL 35209
Phone (205) 942-0977

2010 Patton Chapel Rd
Ste 101
Hoover, AL 35216
Phone (205) 822-0233

Networks

  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: flarussa@triavision.intellechartdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1023129582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59449",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599449",
            "telephone_number": "205-876-8988",
            "fax_number": "205-634-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LAKESHORE PKWY",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097105",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUSSA",
        "first_name": "FRANK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S666 TA-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.