Individual provider Active NPI

Alexia C Vaughn, O.D.

  • Optometrist
  • Homewood, AL
National Provider Identifier
1437182854
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B21-TA-710 Issued in AL
Practice address
1628 29TH CT S
Ste 101
Homewood, AL 35209-2417
Phone
(205) 942-7740
Fax
(205) 942-7940
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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-B21-TA-710 AL Primary

Addresses

Primary practice location

1628 29TH CT S
Ste 101
Homewood, AL 35209-2417

Mailing address

1628 29TH CT S
Ste 101
Homewood, AL 35209-2417
Phone (205) 942-7740

Other identifiers 1

IdentifierTypeStateIssuer
009938261MedicaidAL

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
I20061030000289 AL Practitioner - Optometry 4587661863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1628 29TH CT S
Suite 101
Homewood, AL 35209-2417
Phone (205) 942-7740

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-B21-TA-710ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Alabama at Birmingham Optometrist CurrentSince Jul 24, 2013 Accepting new patients
Vaughns Family Vision LLC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 24, 2013 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

833 Green Springs Hwy
Ste 121
Homewood, AL 35209
Phone (205) 942-7740

1628 29th Ct S
Ste 101
Homewood, AL 35209
Phone (205) 942-7740

1628 29th Ct S
Ste 1
Homewood, AL 35209

Organizations & group practices 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1437182854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 29TH CT S",
            "address_2": "STE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092417",
            "telephone_number": "205-942-7740",
            "fax_number": "205-942-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 29TH CT S",
            "address_2": "STE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092417",
            "telephone_number": "205-942-7740",
            "fax_number": "205-942-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ALEXIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B21-TA-710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938261",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.