Individual provider Active NPI

Howard Russell Day, OD

  • Optometrist
  • Gardendale, AL
National Provider Identifier
1104856681
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S658 Issued in AL
Practice address
137 West Shugart Ridge Road
Gardendale, AL 35071
Phone
(205) 631-5681
Fax
(205) 631-2479
NPI assigned
Jul 3, 2006
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S658 AL Primary

Addresses

Primary practice location

137 West Shugart Ridge Road
Gardendale, AL 35071

Mailing address

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone (205) 631-5681

Other identifiers 1

IdentifierTypeStateIssuer
000058106MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL portal

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
I20110831000065 AL Practitioner - Optometry 4385740018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day Optometry Clinic PCGroup PAC ID 7416974761, 6 clinicians

Practice addresses (Care Compare)

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone 2056315681414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S658ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Day Optometry Clinic PC Optometrist CurrentSince Nov 7, 1994 Accepting new patients

Locations

137 W Shugart Ridge Rd
Gardendale, AL 35071
Phone (205) 631-5681

1501 Decatur Hwy
Gardendale, AL 35071
Phone (205) 631-5681

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, 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1104856681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W SHUGART RIDGE RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712671",
            "telephone_number": "205-631-5681",
            "fax_number": "205-631-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WEST SHUGART RIDGE ROAD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-631-5681",
            "fax_number": "205-631-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "HOWARD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058106",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "portal",
            "affiliation": "N",
            "address_1": "137 WEST SHUGART RIDGE ROAD",
            "city": "GARDENDALE",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.