Active NPI
Steven R Landreth, OD
- Optometrist
- Northport, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S914TA467
- Practice address
- 3519 Watermelon Rd
Northport, AL 35473-5174 - Phone
- (205) 758-0242
- NPI assigned
- May 10, 2007
- 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 | S914TA467 | AL | Primary |
Addresses
Primary practice location
3519 Watermelon Rd
Northport, AL 35473-5174
Mailing address
1655 McFarland Blvd N
Suite 127
Tuscaloosa, AL 35406-2212
Phone (205) 758-0242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051554102 | Medicaid | AL | |
| 51500676 | Other | AL | BCBS OF AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3519 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 758-0242
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S914TA467 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landreth & Associates Inc | Optometrist | Current | Accepting new patients |
| Landreth & Associates Inc | Optometrist | Current | Accepting new patients |
Locations
703 Tuscaloosa St
Greensboro, AL 36744
3519 Watermelon Rd
Northport, AL 35473
Phone (205) 345-1520
206 1st Ave E
Reform, AL 35481
311 1st St S
Reform, AL 35481
Phone (205) 375-8200
1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930
Interoperability endpoints
- stevenlandreth@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Northport, AL
- NPI 1922183722
-
- Optometrist
- Reform, AL
- NPI 1043313661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1083828545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 MCFARLAND BLVD N",
"address_2": "SUITE 127",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062212",
"telephone_number": "205-758-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 WATERMELON RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735174",
"telephone_number": "205-758-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRETH",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S914TA467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051554102",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51500676",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.