Fred L Birmingham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

984-213T Issued in LA

Practice address

1173 Robert Blvd
Slidell, LA 70458-2013

Phone

(985) 847-0081

Fax

(985) 639-9576

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birmingham Optical

  • Optometrist
  • Slidell, LA
  • NPI 1497205249
  NPD (past) Authorized official
• Germer Haley LLC

  • Ophthalmology Physician
  • Bogalusa, LA
  • NPI 1104014216
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598729956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PINEWOOD DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581363",
            "telephone_number": "985-847-0081",
            "fax_number": "985-639-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582013",
            "telephone_number": "985-847-0081",
            "fax_number": "985-639-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "FRED",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "984-213T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385042",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Eldon Bilbo, CRNA
• Bio-Medical Applications of Louisiana, LLC
• Bio-Medical Applications of Louisiana, LLC
• Bippo'S New Orleans LLC
• Birmingham Optical
• Laurie Ann Bishop, M.D.
• Ashlen Bissell, DPT
• Saumitra Biswas, MD
• Jasmine Bivins
• Preston G Bivona, DDS

• Optometrist in Slidell, LA
• Providers in Slidell, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.