Individual provider Active NPI

Rica P McRoy, OD

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1356312045
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S847TA353 Issued in AL
Practice address
4030 Balmoral Dr SW Ste a
Huntsville, AL 35801
Phone
(256) 801-0099
Fax
(256) 533-1369
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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-847-TA-353 AL
Optometrist 152W00000X S847TA353 AL Primary

Addresses

Primary practice location

4030 Balmoral Dr SW Ste a
Huntsville, AL 35801

Mailing address

4030 Balmoral Dr SW Ste a
Huntsville, AL 35801-6402
Phone (256) 801-0099

Other identifiers 2

IdentifierTypeStateIssuer
529603830MedicaidAL
512-9179OtherALBLUE CROSS

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
I20100910000882 AL Practitioner - Optometry 1355409269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R City Eye Care, LLCGroup PAC ID 9436403342, 4 clinicians

Practice addresses (Care Compare)

4030 Balmoral Dr SW
Suite a
Huntsville, AL 35801-6545
Phone (256) 801-0099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-847-TA-353ALMDOptometrist
S847TA353ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
R City Eye Care, LLC Optometrist CurrentSince May 21, 2018 Accepting new patients

Locations

4030 Balmoral Dr SW
Ste A
Huntsville, AL 35801
Phone (256) 801-0099

8141 Madison Blvd
Ste A
Madison, AL 35758
Phone (256) 870-8141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1356312045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BALMORAL DR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "256-801-0099",
            "fax_number": "256-533-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BALMORAL DR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-801-0099",
            "fax_number": "256-533-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCROY",
        "first_name": "RICA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-847-TA-353",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S847TA353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529603830",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "512-9179",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.