Individual provider Active NPI

Madonna Abdelmalak Ghobrial, OD

  • Optometrist
  • Gardendale, AL
National Provider Identifier
1083599021
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F71-TA-D60 Issued in AL
Practice address
1406 McFarland Blvd N Ste 1B
Tuscaloosa, AL 35406-2294
Phone
(205) 556-2121
Fax
(205) 831-8370
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-F71-TA-D60 AL Primary

Addresses

Primary practice location

1406 McFarland Blvd N Ste 1B
Tuscaloosa, AL 35406-2294

Mailing address

120 19TH St N Apt 715
Birmingham, AL 35203-3272
Phone (615) 430-2303

Other practice location 1

655 Fieldstown Rd Ste 114
Gardendale, AL 35071-2441
Phone (205) 608-8222

Other practice location 2

6723 Deerfoot Pkwy Ste 119
Pinson, AL 35126-3095
Phone (205) 683-3232

Other practice location 3

1717 Montgomery Hwy
Hoover, AL 35244-1298
Phone (205) 985-0971

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
I20250909000286 AL Practitioner - Optometry 0345742342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians

Practice addresses (Care Compare)

655 Fieldstown Rd
Suite 114
Gardendale, AL 35071-2441
Phone (205) 608-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F71-TA-D60ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Aug 21, 2025 Accepting new patients

Locations

655 Fieldstown Rd
Ste 114
Gardendale, AL 35071
Phone (205) 608-8222

6723 Deerfoot Pkwy
Ste 119
Pinson, AL 35126
Phone (205) 683-3232

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 1

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1083599021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 19TH ST N APT 715",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033272",
            "telephone_number": "615-430-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MCFARLAND BLVD N STE 1B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062294",
            "telephone_number": "205-556-2121",
            "fax_number": "205-831-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Fieldstown Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712441",
            "country_code": "US",
            "telephone_number": "205-608-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6723 Deerfoot Pkwy Ste 119",
            "address_purpose": "LOCATION",
            "city": "Pinson",
            "state": "AL",
            "postal_code": "351263095",
            "country_code": "US",
            "telephone_number": "205-683-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352441298",
            "country_code": "US",
            "telephone_number": "205-985-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "MADONNA",
        "middle_name": "ABDELMALAK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F71-TA-D60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.