NPIMap

Organization Active NPI

Tuscaloosa Ophthalmology, Inc.

  • Ophthalmology Physician
  • Tuscaloosa, AL
National Provider Identifier
1487728218
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TUSCALOOSA OPHTHALMOLOGY, INC.
Practice address
535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone
(205) 556-2121
Fax
(205) 554-0152
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Joseph Gira, M.D.NPI 1861481152
Title
Cmo/Authorized Official
Phone
(636) 227-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715

Mailing address

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Other practice location 1

255 Medical Dr
Ste 4
Winfield, AL 35594
Phone (205) 592-3911

Other identifiers 1

IdentifierTypeStateIssuer
529202430MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000680 AL Part B Supplier - Clinic/Group Practice 4981627676 Receives reassigned benefits from 8 practitioners
Practice locations: Haleyville, AL; Winfield, AL; Tuscaloosa, AL; Hamilton, AL; Fayette, AL; Aliceville, AL

National Provider Directory

National Provider Directory
Tax ID family
Tuscaloosa Ophthalmology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1900 11th Ave
Ste B
Haleyville, AL 35565
Phone (205) 486-4321

1520 Military St S
Hamilton, AL 35570
Phone (205) 556-2121

255 Medical Dr
#4
Winfield, AL 35594
Phone (205) 487-7800

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1487728218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE B1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045715",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE B1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045715",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Dr",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "35594",
            "country_code": "US",
            "telephone_number": "205-592-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUSCALOOSA OPHTHALMOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CMO/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-227-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529202430",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.