Individual provider Active NPI

Kimberly W Stroup, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1518252584
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C66-TA-892 Issued in AL
Practice address
911 Hargrove Rd E
Tuscaloosa, AL 35405-1602
Phone
(205) 507-7810
Fax
(205) 554-7399
NPI assigned
Jun 17, 2011
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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-C66-TA-892 AL Primary

Addresses

Primary practice location

911 Hargrove Rd E
Tuscaloosa, AL 35405-1602

Mailing address

4247 Candle Brook LN
Bessemer, AL 35022-8342

Other practice location 1

801 Applejack Blvd
Northport, AL 35473-3401
Phone (205) 333-0016

Other practice location 2

3519 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 758-0242

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
I20111206000215 AL Practitioner - Optometry 6103091970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

911 Hargrove Rd E
Tuscaloosa, AL 35405-1602
Phone (205) 507-7810

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C66-TA-892ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

801 Applejack Blvd
Northport, AL 35473
Phone (205) 333-0016

911 Hargrove Rd E
Tuscaloosa, AL 35405
Phone (205) 507-7810

Interoperability endpoints

  • Direct secure messaging: kimberlystroup@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, 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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1518252584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 CANDLE BROOK LN",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350228342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HARGROVE RD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051602",
            "telephone_number": "205-507-7810",
            "fax_number": "205-554-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Applejack Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354733401",
            "country_code": "US",
            "telephone_number": "205-333-0016",
            "fax_number": "205-339-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3519 Watermelon Rd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354735174",
            "country_code": "US",
            "telephone_number": "205-758-0242",
            "fax_number": "205-758-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUP",
        "first_name": "KIMBERLY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C66-TA-892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.