Individual provider Active NPI

Matthew Daniel Box, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1104834381
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA06TA553 Issued in AL
Practice address
1501 Skyland Blvd E
Tuscaloosa, AL 35405-4231
Phone
(205) 750-8529
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA06TA553 AL Primary

Addresses

Primary practice location

1501 Skyland Blvd E
Tuscaloosa, AL 35405-4231

Mailing address

PO Box 71588
Tuscaloosa, AL 35407-1588
Phone (205) 427-8857

Other identifiers 1

IdentifierTypeStateIssuer
051506198MedicaidAL

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
I20070606000299 AL Practitioner - Optometry 9739287384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5003 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 342-0660

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA06TA553ALMDOptometrist
1172SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Eye Care, P.C. Optometrist CurrentSince Jan 21, 2002 Accepting new patients

Locations

5003 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 342-0660

1501 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 345-4047

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1104834381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71588",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354071588",
            "telephone_number": "205-427-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054231",
            "telephone_number": "205-750-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA06TA553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051506198",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.