Individual provider Active NPI

Stephanie B Bedsole, OD

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1184715112
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA36TA590 Issued in AL
Practice address
1800 McFarland Blvd E Ste 337
Tuscaloosa, AL 35404-5882
Phone
(205) 879-2221
Fax
(205) 879-0615
NPI assigned
Sep 27, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 SA36TA590 AL Primary

Addresses

Primary practice location

1800 McFarland Blvd E Ste 337
Tuscaloosa, AL 35404-5882

Mailing address

2100 Devereux Cir Ste 100
Vestavia, AL 35243-2558
Phone (205) 514-8085

Other identifiers 3

IdentifierTypeStateIssuer
51522034OtherALBCBS
529920130MedicaidAL
051554725MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMA Direct

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
I20040604000625 AL Practitioner - Optometry 4789666595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Ophthalmology PCGroup PAC ID 9537352299, 6 clinicians

Practice addresses (Care Compare)

4280 Watermelon Rd
Suite 110
Northport, AL 35473-5250
Phone (205) 556-4180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Ophthalmology P.C. CurrentSince May 1, 2021 Accepting new patients
Invision Ophthalmology P.C. CurrentSince Mar 28, 2021 Accepting new patients
Invision Ophthalmology P.C. CurrentSince May 1, 2021 Accepting new patients
Precision Optical, LLC Past Accepting new patients

Locations

4280 Watermelon Rd
Ste 110
Northport, AL 35473
Phone (205) 556-4180

2100 Devereux Cir
Ste 100
Vestavia, AL 35243
Phone (205) 871-7767

Interoperability endpoints

  • Direct secure messaging: stephaniebedsole@daviseye.direct.eyemdemr.com

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1184715112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DEVEREUX CIR STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432558",
            "telephone_number": "205-514-8085",
            "fax_number": "866-681-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD E STE 337",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045882",
            "telephone_number": "205-879-2221",
            "fax_number": "205-879-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSOLE",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA36TA590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51522034",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529920130",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554725",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMA",
            "affiliation": "N",
            "endpointDescription": "SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOFTWARE",
            "address_1": "1800 McFarland Blvd E Ste 337",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354045882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.