Individual provider Active NPI

Andrew Patrick Plaxco, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1467185595
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-364-TA-D71 Issued in AL
Practice address
1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Phone
(205) 926-2992
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-364-TA-D71 AL Primary
Optometrist 152W00000X 3755 TN

Addresses

Primary practice location

1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 1

1509 6th Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

Other practice location 2

2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746
Phone (804) 330-9303 ext. 204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230814001971 VA Practitioner - Optometry 4789046343 Reassigns benefits to 1 organization
I20250902002522 AL Practitioner - Optometry 4789046343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

1509 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

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

211 Ana Dr
Florence, AL 35630-1768
Phone (256) 766-8963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-364-TA-D71ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Aug 12, 2025 Accepting new patients
Eye Care Center of Virginia PC CurrentSince Aug 1, 2023 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince Sep 3, 2025 Accepting new patients
Carl D. Outen, MD, PC CurrentSince Aug 1, 2023 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Aug 1, 2025 Accepting new patients
University of Alabama at Birmingham CurrentSince Aug 1, 2025 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 12, 2025 Accepting new patients

Locations

1716 University Blvd
#80A
Birmingham, AL 35233

1716 University Blvd
Birmingham, AL 35294

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

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

195 Hospital Dr
Centreville, AL 35042
Phone (205) 333-9097

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

211 Ana Dr
Florence, AL 35630
Phone (256) 760-9942

605 N Courthouse Rd
Ste 101
North Chesterfield, VA 23236
Phone (804) 794-1334

2924 Emerywood Pkwy
Ste 103
Richmond, VA 23294
Phone (804) 330-9303

Interoperability endpoints

  • Direct secure messaging: andrew.plaxco.1@11347.direct.athenahealth.com
  • Direct secure messaging: aplaxco@eccv.intellechartdirect.net

Organizations & group practices 9

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1467185595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111948",
            "telephone_number": "205-926-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331601",
            "country_code": "US",
            "telephone_number": "205-930-3200",
            "fax_number": "205-930-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2924 Emerywood Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232943746",
            "country_code": "US",
            "telephone_number": "804-330-9303 x204",
            "fax_number": "804-330-9302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAXCO",
        "first_name": "ANDREW",
        "middle_name": "PATRICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-364-TA-D71",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.