Active NPI
Samuel Haskins, OD
- Optometrist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-F63-TA-D69
- Practice address
- 3980 Colonnade Pkwy Ste 101
Birmingham, AL 35243-2382 - Phone
- (833) 733-8742
- Fax
- (205) 634-5640
- NPI assigned
- Aug 18, 2025
- Last updated
- Sep 1, 2026
- Sex
- Male
- 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 | S-F63-TA-D69 | AL | Primary |
Addresses
Primary practice location
3980 Colonnade Pkwy Ste 101
Birmingham, AL 35243-2382
Mailing address
PO Box 59449
Birmingham, AL 35259-9449
Phone (833) 733-8742
Other practice location 1
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000
Other practice location 2
1509 6th Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200
Other names 1
- Dr. Sammy Haskins
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
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama at Birmingham
Practice addresses (Care Compare)
1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899
1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 731-9050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-F63-TA-D69 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Alabama, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Alabama LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Alabama LLC | Optometrist | Current | Accepting new patients |
| TVPG LLC | Optometrist | Past | Accepting new patients |
| Colonnade Surgical Partners, LLC | Past | Accepting new patients |
Locations
2019 Highland Ave S
Birmingham, AL 35205
Phone (205) 328-2020
2250 Bessemer Rd
Birmingham, AL 35208
Phone (205) 786-2020
3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020
1686 Montgomery Hwy
Hoover, AL 35216
Phone (205) 900-3746
2737 Highway 280 S
Ste 191
Mountain Brk, AL 35223
Phone (205) 802-2020
2617 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-1575
322 Main St
Trussville, AL 35173
Phone (205) 445-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
-
dba Tria Vision-Colonnade
- Ambulatory Surgical Clinic/Center
- Birmingham, AL
- NPI 1922997477
-
dba Tria Vision Physician Group, LLC
- Ophthalmology Physician
- Hoover, AL
- NPI 1639929144
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1588541114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59449",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352599449",
"telephone_number": "833-733-8742",
"fax_number": "205-634-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 COLONNADE PKWY STE 101",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432382",
"telephone_number": "833-733-8742",
"fax_number": "205-634-5640"
}
],
"practiceLocations": [
{
"address_1": "3701 Loop Rd",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354045015",
"country_code": "US",
"telephone_number": "205-554-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"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"
}
],
"basic": {
"last_name": "HASKINS",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-F63-TA-D69",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMMY",
"last_name": "HASKINS",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.