Individual provider Active NPI

Lori Alyse Jasper, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1144514068
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C60-TA-898 Issued in AL
Practice address
2226 1St Ave S
#103
Birmingham, AL 35233-2333
Phone
(205) 222-5117
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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-C60-TA-898 AL Primary

Addresses

Primary practice location

2226 1St Ave S
#103
Birmingham, AL 35233-2333

Mailing address

201 Dunrobin CV
Pelham, AL 35124-6286
Phone (205) 222-5117

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
I20120321000444 AL Practitioner - Optometry 4284894742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nowvision Eye Care LLC CurrentSince Feb 23, 2012 Accepting new patients
Health Care for Life Al, LLC Optometrist Current Accepting new patients
Nowvision Eye Care LLC Optometrist PastSince Feb 23, 2012 Accepting new patients

Locations

2226 1st Ave S
Ste 103
Birmingham, AL 35233
Phone (205) 222-5117

523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955

Organizations & group practices 3

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1144514068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DUNROBIN CV",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246286",
            "telephone_number": "205-222-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 1ST AVE S",
            "address_2": "#103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332333",
            "telephone_number": "205-222-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "LORI",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C60-TA-898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.