Individual provider Active NPI

Timothy M Meadows, OD

  • Optometrist
  • Prattville, AL
National Provider Identifier
1255316667
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S926TA493 Issued in AL
Practice address
645 McQueen Smith Rd N
Prattville, AL 36066-7268
Phone
(334) 481-2800
Fax
(334) 365-8079
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S926TA493 AL Primary

Addresses

Primary practice location

645 McQueen Smith Rd N
Prattville, AL 36066-7268

Mailing address

2752 Zelda Rd
Montgomery, AL 36106-2694
Phone (334) 481-2800

Other identifiers 1

IdentifierTypeStateIssuer
000060145MedicaidAL

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
I20080428000178 AL Practitioner - Optometry 1557449816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Eye Physicians PCGroup PAC ID 7113990805, 6 clinicians

Practice addresses (Care Compare)

2752 Zelda Rd
Montgomery, AL 36106-2694
Phone (334) 271-3804

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
92.57
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Eye Physicians P.C Optometrist CurrentSince Aug 20, 1999 Accepting new patients
Montgomery Eye Physicians P.C Optometrist CurrentSince Aug 20, 1999 Accepting new patients
Prescription Eyewear, Inc. PastSince Aug 22, 2005 Accepting new patients

Locations

2752 Zelda Rd
Montgomery, AL 36106
Phone (334) 270-9677

8131 Seaton Pl
Montgomery, AL 36116
Phone (334) 323-1889

645 McQueen Smith Rd N
Prattville, AL 36066
Phone (334) 361-7811

1976 Fairview Ave
Prattville, AL 36066
Phone (334) 271-3804

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1255316667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062694",
            "telephone_number": "334-481-2800",
            "fax_number": "334-270-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-481-2800",
            "fax_number": "334-365-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S926TA493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060145",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.