Individual provider Active NPI

Joann Meadows Tyson, O.D.

  • Optometrist
  • Anniston, AL
National Provider Identifier
1578898557
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C04-TA-823 Issued in AL
Practice address
5560 McClellan Blvd
Anniston, AL 36206-1664
Phone
(256) 820-2800
NPI assigned
Oct 9, 2009
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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-C04-TA-823 AL Primary

Addresses

Primary practice location

5560 McClellan Blvd
Anniston, AL 36206-1664

Mailing address

101 Avery Dr
Anniston, AL 36205-3606
Phone (256) 225-1689

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
I20100126000480 AL Practitioner - Optometry 1850433095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5560 McClellan Blvd
Anniston, AL 36206-1664
Phone (256) 820-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C04-TA-823ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision & Eye Healthcare. LLC Optometrist CurrentSince Feb 1, 2011 Accepting new patients
Terry L Bonds,OD,PC Optometrist Past Accepting new patients

Locations

5560 McClellan Blvd
Anniston, AL 36206
Phone (256) 820-0994

Organizations & group practices 2

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1578898557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVERY DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362053606",
            "telephone_number": "256-225-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362061664",
            "telephone_number": "256-820-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "JOANN",
        "middle_name": "MEADOWS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C04-TA-823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.