Parisa Tackett Dudley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SA81TA666 Issued in AL

Practice address

700 18TH St S Ste 601
Birmingham, AL 35233-3800

Phone

(205) 325-8620

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Alabama Ophthalmology Services FoundationGroup PAC ID 9234023417, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.74 of 100Reported as group

Quality

79.85

Promoting interoperability

98

Improvement activities

40

Cost

70.94

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 30)

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.

• University of Alabama Ophthalmology Services Foundation

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1265485999
  Medicare reassignment Care Compare group NPD
• Dr. Brian R. Pettie Eyecare, PC

  • Optometrist
  • Irondale, AL
  • NPI 1215135967
  Medicare reassignment NPD
• B Faye Andrews

  • Optometrist
  • Warrior, AL
  • NPI 1245236637
  Medicare reassignment
• Cheaha Eye Associates PC

  • Optometrist
  • Talladega, AL
  • NPI 1700946449
  NPD (past)
• Cheaha Eye Associates, P.C.--McCalla

  • Optometrist
  • McCalla, AL
  • NPI 1790847465
  NPD (past)
• Uab Callahan Eye Hospital Authority

  dba Callahan Eye Hospital

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1427398254
  NPD (past)
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1063505097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830941, MSC #559",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 18TH ST S STE 601",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333800",
            "telephone_number": "205-325-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "PARISA",
        "middle_name": "TACKETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA81TA666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA81TA666",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "parisa.dudley.p1@direct.uabmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "700 18th St S Ste 601",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352333800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Ann Duckett, MD
• Morgan Duckett, LICSW
• Mackenzie Duckworth, LICSW
• Daniel Duddleston, MD
• Lawrence Dudley III, NP
• Patricia Ann Dudley, NP-C
• Shea Alexander Duerring, M.D.
• Jordan Chandler Duffee, CRNP
• Joseph Brian Duffin, LPTA
• Megan Duffin, DPT

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.