Individual provider Active NPI

Jennifer Alverson, OD

  • Optometrist
  • Southside, AL
National Provider Identifier
1316959679
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S879TA440 Issued in AL
Practice address
1800 Al-77
Southside, AL 35907-0169
Phone
(256) 442-6200
Fax
(256) 442-6292
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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.

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
Group practices
Eyecare Associates, Inc. 52 clinicians

Practice addresses (Care Compare)

7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711

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
I20080329000054 AL Practitioner - Optometry 6103902275 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Feb 1, 2021 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

1755 Highway 77
Southside, AL 35907
Phone (256) 442-6200

Interoperability endpoints

  • Direct secure messaging: jalverson@direct.eyecare-partners.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S879TA440 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 Al-77
Southside, AL 35907-0169

Mailing address

15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
009946130MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2016.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1316959679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL-77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070169",
            "telephone_number": "256-442-6200",
            "fax_number": "256-442-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVERSON",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S879TA440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009946130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AL

Sources for this page

Verify at the official NPI Registry.