Individual provider Active NPI

Meredith Tillman Flatt, OD

  • Optometrist
  • Andalusia, AL
National Provider Identifier
1619683737
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-330 Issued in AL
Practice address
1860 E Three Notch St
Andalusia, AL 36421-2404
Phone
(334) 222-2020
Fax
(334) 222-6506
NPI assigned
Jan 24, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-330 AL Primary

Addresses

Primary practice location

1860 E Three Notch St
Andalusia, AL 36421-2404

Mailing address

PO Box 1517
Andalusia, AL 36420-1226
Phone (334) 222-2020

Other names 1

  • Dr. Meredith Tillman Flatt Professional 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
I20230307001642 AL Practitioner - Optometry 9638542988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andalusia Eye Clinic LLCGroup PAC ID 1557386778, 3 clinicians

Practice addresses (Care Compare)

1860 E Three Notch St
Andalusia, AL 36421-2404
Phone (334) 222-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-330ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Eye Clinic LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients

Locations

1860 E Three Notch St
Andalusia, AL 36421
Phone (334) 222-2020

Organizations & group practices 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1619683737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201226",
            "telephone_number": "334-222-2020",
            "fax_number": "334-222-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364212404",
            "telephone_number": "334-222-2020",
            "fax_number": "334-222-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATT",
        "first_name": "MEREDITH",
        "middle_name": "TILLMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "FLATT",
            "middle_name": "TILLMAN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.