Organization Active NPI

Andrea B. Hudson, OD, LLC

Doing business as Steel City Eye Care

  • Corneal and Contact Management Optometrist
  • Birmingham, AL
National Provider Identifier
1275999476
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
S-881-TA-462 Issued in AL
Legal business name
ANDREA B. HUDSON, OD, LLC
Doing business as
Steel City Eye Care
Practice address
2937 7TH Ave S Ste 104
Birmingham, AL 35233-2927
Phone
(205) 447-6774
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Andrea Beavers Hudson, ODNPI 1285856542
Title
Optometrist
Phone
(205) 447-6774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X S-881-TA-462 AL Primary

Addresses

Primary practice location

2937 7TH Ave S Ste 104
Birmingham, AL 35233-2927

Mailing address

2937 7TH Avenue South, #104
Birmingham, AL 35233
Phone (205) 447-6774

Other names 1

  • Steel City Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160222001310 AL Part B Supplier - Clinic/Group Practice 9638474141 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

2937 7th Ave S
Ste 104
Birmingham, AL 35233
Phone (205) 447-6774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1275999476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 7TH AVENUE SOUTH, #104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-447-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 7TH AVE S STE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332927",
            "telephone_number": "205-447-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA B. HUDSON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BEAVERS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "205-447-6774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S-881-TA-462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steel City Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.