Active NPI
Fred B Setzer Jr., OD
- Optometrist
- Birmingham, AL
National Provider Identifier
1053396465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S364TA082
- Practice address
- One West Lakeshore Drive
Birmingham, AL 35209-7271 - Phone
- (205) 941-2020
- Fax
- (205) 397-4190
- NPI assigned
- Dec 8, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | S364TA082 | AL | Primary |
Addresses
Primary practice location
One West Lakeshore Drive
Birmingham, AL 35209-7271
Mailing address
324C Edwards Lake Parkway
Suite 100
Birmingham, AL 35235-3218
Phone (205) 949-2020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S364TA082 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1053396465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324C EDWARDS LAKE PARKWAY",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353218",
"telephone_number": "205-949-2020",
"fax_number": "205-949-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE WEST LAKESHORE DRIVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352097271",
"telephone_number": "205-941-2020",
"fax_number": "205-397-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETZER",
"first_name": "FRED",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S364TA082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.