Individual provider Active NPI

Joshua Tinsley, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1407383953
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D73 Issued in AL
Practice address
5919 Trussville Crossings Pkwy
Birmingham, AL 35235-8635
Phone
(205) 661-1975
NPI assigned
May 15, 2017
Last updated
May 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D73 AL Primary

Addresses

Primary practice location

5919 Trussville Crossings Pkwy
Birmingham, AL 35235-8635

Mailing address

511 Jonesview Rd
Talladega, AL 35160-8035

Other identifiers 1

IdentifierTypeStateIssuer
S-D73OtherALSTATE LICENSE

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
I20220209001851 AL Practitioner - Optometry 1557754850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1316 Noble St
Anniston, AL 36201-4643
Phone (256) 236-0221

1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131

1989 Sardis Dr
Sardis City, AL 35956-2344
Phone (256) 593-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D73ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Feb 1, 2022 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Feb 1, 2022 Accepting new patients
Quality of Life Health Services Inc Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

601 Leighton Ave
Anniston, AL 36207
Phone (256) 238-1154

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

64 Giles St
Heflin, AL 36264
Phone (256) 463-2021

Organizations & group practices 5

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1407383953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JONESVIEW RD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351608035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 TRUSSVILLE CROSSINGS PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358635",
            "telephone_number": "205-661-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D73",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S-D73",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.