Individual provider Active NPI

Anthony Riley Austin, O.D.

  • Optometrist
  • Northport, AL
National Provider Identifier
1598867137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S960TA520 Issued in AL
Practice address
5710 McFarland Blvd
Northport, AL 35476-3539
Phone
(205) 333-7859
Fax
(205) 333-7869
NPI assigned
Sep 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S960TA520 AL Primary

Addresses

Primary practice location

5710 McFarland Blvd
Northport, AL 35476-3539

Mailing address

8204 Lake Sherwood Cir
Northport, AL 35473-8425

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
I20101203000295 AL Practitioner - Optometry 8729275771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5710 McFarland Blvd
Northport, AL 35476-3539
Phone (205) 333-7859

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S960TA520ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northport Vision Center LLC Optometrist CurrentSince Mar 17, 2015 Accepting new patients
Anthony Riley Austin Optometrist Past Accepting new patients

Locations

5710 McFarland Blvd
Northport, AL 35476
Phone (205) 333-7859

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598867137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 LAKE SHERWOOD CIR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354738425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763539",
            "telephone_number": "205-333-7859",
            "fax_number": "205-333-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ANTHONY",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S960TA520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.