Gerald Simon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-592-TA-197 Issued in AL

Practice address

3240 Edwards Lake Pkwy Ste 100
Trussville, AL 35235-3128

Phone

(833) 733-8742

Fax

(205) 634-5640

NPI assigned

Aug 8, 2006

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

Other identifiers 5

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

TVPG LLCGroup PAC ID 0143762112, 24 clinicians

Visionfirst Eye Center, IncGroup PAC ID 2769378777, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

89.95

Improvement activities

40

Cost

76.12

Medicare enrollment (NPD)

Enrolled

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.

• TVPG LLC

  • Ophthalmology Physician
  • Hoover, AL
  • NPI 1639929144

  Optometrist

  Medicare reassignment Care Compare group NPD
• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment Care Compare group NPD
• Visionfirst Eye Center, Inc

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1629118286
  Medicare reassignment Care Compare group NPD
• DRS Simon & Medlock Prtnr

  • Optometrist
  • Birmingham, AL
  • NPI 1811089808
  Medicare reassignment NPD
• The University of Alabama at Birmingham

  • Optometrist
  • Birmingham, AL
  • NPI 1487677811
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD
• Colonnade Surgical Partners, LLC

  • Ambulatory Surgical Clinic/Center
  • Birmingham, AL
  • NPI 1922997477
  NPD (past)
• University of Alabama at Birmingham

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1407837750
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1386654739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59449",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599449",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 EDWARDS LAKE PKWY STE 100",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "352353128",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 University Boulevard",
            "address_2": "HPB G080A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940010",
            "country_code": "US",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-592-TA-197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59904",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008600476",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009945450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T69064",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25841",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Family Chiropractic
• William Wayne Serena Jr., PT, MSPT
• Natalie Alexa Shannon, PT, DPT
• William Connor Shannon, DPT
• Sherry Shine, HAIR LOSS SPECIALIST
• Akaash Singh, DO
• Chin Pang Siu, CRNP
• Slpcoa LLC
• Julia Smit, CRNP
• Andrew T Smith, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.