Active NPI
Rollins Lynne Tindell Jr., M.D.
- Ophthalmology Physician
- Mobile, AL
National Provider Identifier
1033104500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00009709
- Practice address
- 2880 Dauphin St
Mobile, AL 36606-2457 - Phone
- (251) 473-1900
- Fax
- (251) 470-8943
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00009709 | AL | Primary |
Addresses
Primary practice location
2880 Dauphin St
Mobile, AL 36606-2457
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51034511 | Other | AL | BLUE CROSS PROVIDER # |
| C75271 | Other | AL | HEALTHSPRING PROVIDER # |
| 0810063 | Other | AL | UNITED HEALTHCARE PROV. # |
| 4006775 | Other | AL | AETNA PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009709 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1033104500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDELL",
"first_name": "ROLLINS",
"middle_name": "LYNNE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "00009709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "51034511",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING PROVIDER #",
"identifier": "C75271",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROV. #",
"identifier": "0810063",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4006775",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.