Active NPI
John M Laurent, OD, PHD
- Optometrist
- Birmingham, AL
National Provider Identifier
1114903945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-175-TA-794
- Practice address
- 1716 University Boulevard
HPB G080A
Birmingham, AL 35294-0010 - Phone
- (205) 975-2020
- Fax
- (205) 934-6755
- NPI assigned
- Dec 22, 2005
- 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 | R-175-TA-794 | AL | Primary |
Addresses
Primary practice location
1716 University Boulevard
HPB G080A
Birmingham, AL 35294-0010
Mailing address
1716 University Boulevard
HPB G080A
Birmingham, AL 35294-0010
Phone (205) 975-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105993 | Medicaid | AL | |
| 105995 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Current | Accepting new patients |
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.
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1114903945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BOULEVARD",
"address_2": "HPB G080A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940010",
"telephone_number": "205-975-2020",
"fax_number": "205-934-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BOULEVARD",
"address_2": "HPB G080A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940010",
"telephone_number": "205-975-2020",
"fax_number": "205-934-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENT",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-175-TA-794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105993",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105995",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.