Individual provider Active NPI

Samara Dudley Perryman, OD

  • Optometrist
  • Greenville, AL
National Provider Identifier
1063941631
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D86-TA-A82 Issued in AL
Practice address
846 Fort Dale Rd
Greenville, AL 36037-3509
Phone
(334) 382-5571
Fax
(334) 383-9101
NPI assigned
Jun 7, 2017
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D86-TA-A82 AL Primary
Optometrist 152W00000X S-D86 AL

Addresses

Primary practice location

846 Fort Dale Rd
Greenville, AL 36037-3509

Mailing address

PO Box 856
Greenville, AL 36037-0856
Phone (334) 382-5571

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
I20180612000796 AL Practitioner - Optometry 3173878386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardner Eye Care LLCGroup PAC ID 8921382003, 2 clinicians

Practice addresses (Care Compare)

846 Fort Dale Rd
Greenville, AL 36037-3509
Phone (334) 382-5571

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D86ALMDOptometrist
S-D86-TA-A82ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Eye Care LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
James Caleb Gardner, O.D. Optometrist PastSince Aug 17, 2025 Accepting new patients

Locations

846 Fort Dale Rd
Greenville, AL 36037
Phone (334) 382-5571

Interoperability endpoints

  • Direct secure messaging: samaraperryman@direct.eyecare-partners.com

Organizations & group practices 3

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1063941631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360370856",
            "telephone_number": "334-382-5571",
            "fax_number": "334-383-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 FORT DALE RD",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373509",
            "telephone_number": "334-382-5571",
            "fax_number": "334-383-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "SAMARA",
        "middle_name": "DUDLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D86-TA-A82",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D86",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

Verify at the official NPI Registry.