Individual provider Active NPI

Andrea Beavers Hudson, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1285856542
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-881-TA-462 Issued in AL
Practice address
2937 7TH Ave S
Ste 104
Birmingham, AL 35233-2927
Phone
(205) 447-6774
Fax
(000) 000-0000
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-881-TA-462 AL Primary
Corneal and Contact Management Optometrist 152WC0802X S-881-TA-462 AL

Addresses

Primary practice location

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

Mailing address

621 Eastwood PL
Vestavia, AL 35216-1923
Phone (205) 447-6774

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
I20160222001444 AL Practitioner - Optometry 0547565053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2937 7TH Ave S
Suite 104
Birmingham, AL 35233-2927
Phone (205) 447-6774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea B. Hudson, OD, LLC Corneal and Contact Management CurrentSince Feb 5, 2016 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1285856542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 EASTWOOD PL",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161923",
            "telephone_number": "205-447-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 7TH AVE S",
            "address_2": "STE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332927",
            "telephone_number": "205-447-6774",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ANDREA",
        "middle_name": "BEAVERS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-881-TA-462",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S-881-TA-462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.