Active NPI
Mary Tally Watson, OD
- Optometrist
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S817TA165
- Practice address
- 7880 Old Madison Pike
Madison, AL 35758-1435 - Phone
- (256) 772-8711
- Fax
- (256) 772-8738
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S817TA165 | AL | Primary |
Addresses
Primary practice location
7880 Old Madison Pike
Madison, AL 35758-1435
Mailing address
15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 82.81
- Promoting interoperability
- 83.07
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates, Inc. | Optometrist | Current | Accepting new patients |
| Eyecare Associates, Inc. | Optometrist | Current | Accepting new patients |
| Eyecare Associates, Inc. | Current | Accepting new patients | |
| Eyecare Associates, Inc. | Past | Accepting new patients |
Locations
210 Bob Wallace Ave SW
Huntsville, AL 35801
Phone (256) 539-3454
7105 Bailey Creek Cir SE
Huntsville, AL 35802
Phone (256) 772-8711
7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711
15933 Clayton Rd
Ste 201
Ballwin, MO 63011
Interoperability endpoints
- mwatson@direct.eyecare-partners.com
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.
-
- Eyewear Supplier
- Birmingham, AL
- NPI 1609901776
-
- Optometrist
- Montgomery, AL
- NPI 1871475038
-
- Durable Medical Equipment & Medical Supplies
- Jasper, AL
- NPI 1255490041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1467445965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD",
"address_2": "SUITE 201",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7880 OLD MADISON PIKE",
"city": "MADISON",
"state": "AL",
"postal_code": "357581435",
"telephone_number": "256-772-8711",
"fax_number": "256-772-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MARY",
"middle_name": "TALLY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S817TA165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.