Individual provider Active NPI

Martin Habel, O.D.

  • Optometrist
  • Rainsville, AL
National Provider Identifier
1396735593
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S0415TA042 Issued in AL
Practice address
94 Church St NW
Rainsville, AL 35986-0609
Phone
(256) 638-6386
Fax
(256) 638-7360
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S0415TA042 AL Primary

Addresses

Primary practice location

94 Church St NW
Rainsville, AL 35986-0609

Mailing address

94 Church St NW
PO Box 609
Rainsville, AL 35986-0609
Phone (256) 638-6386

Other identifiers 1

IdentifierTypeStateIssuer
51059525OtherALBLUE CROSS BLUE SHIELD AL

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
I20100223000011 AL Practitioner - Optometry 8224172747 Reassigns benefits to 1 organization
Practice locations: Rainsville, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S0415TA042ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus Eyecare Dekalb LLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Martin L. Habel, O.D. Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

94 Church Ave
Rainsville, AL 35986
Phone (256) 638-6386

Organizations & group practices 2

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1396735593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CHURCH ST NW",
            "address_2": "PO BOX 609",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860609",
            "telephone_number": "256-638-6386",
            "fax_number": "256-638-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CHURCH ST NW",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860609",
            "telephone_number": "256-638-6386",
            "fax_number": "256-638-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEL",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S0415TA042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51059525",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.