Individual provider Active NPI

Samuel Haskins, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1588541114
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F63-TA-D69 Issued in AL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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-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 Other name

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
I20251022001694 AL Practitioner - Optometry 9931697968 Reassigns benefits to 1 organization

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 BirminghamGroup PAC ID 3779487970, shared by 9 NPIs, 93 clinicians

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

LicenseStateTypeSpecialty
S-F63-TA-D69ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Oct 18, 2025 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Oct 18, 2025 Accepting new patients
TVPG LLC Optometrist PastSince Mar 31, 2024 Accepting new patients
Colonnade Surgical Partners, LLC PastSince Jul 9, 2025 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.

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

Verify at the official NPI Registry.