S Amir Ali Tavakoli Isfahani, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C19-TA-840 Issued in AL

Practice address

11610 S Memorial Pkwy
Huntsville, AL 35803-2152

Phone

(256) 881-3763

Fax

(256) 881-5327

NPI assigned

Feb 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foozzole Inc.

  • Optometrist
  • Huntsville, AL
  • NPI 1629390422
  Medicare reassignment NPD
• Infinity Eye Care PC

  • Optometrist
  • Huntsville, AL
  • NPI 1932939097
  NPD
• Sparkman Eye Care

  • Optometrist
  • Huntsville, AL
  • NPI 1942712005
  NPD

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1346562436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PRESIDENTS WAY SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033673",
            "telephone_number": "256-797-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 S MEMORIAL PKWY",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032152",
            "telephone_number": "256-881-3763",
            "fax_number": "256-881-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI ISFAHANI",
        "first_name": "S AMIR ALI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C19-TA-840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mark Tate, M.D.
• Stephanie Tate, CRNP
• Armanda D. Tatsas, MD
• Denise Chow Tatum, CRNP
• Kendra Tatum, MS
• Carolyn Taylor-Morns, M.D.
• Nikitris Taylor-Perry, CRNP
• Adrianna Taylor
• Amija Taylor
• Aprill I Taylor, CRNA

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.