Active NPI
Ernest E. Sisneros Jr., O.D.
- Optometrist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-B01-TA-673
- Practice address
- 2550 Eastern Blvd
Montgomery, AL 36117-1500 - Phone
- (334) 274-2020
- Fax
- (334) 396-9924
- NPI assigned
- Feb 22, 2006
- 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-B01-TA-673 | AL | Primary |
Addresses
Primary practice location
2550 Eastern Blvd
Montgomery, AL 36117-1500
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S-B01-TA-673 | Other | AL | AL BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-B01-TA-673 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Alabama, LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry 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 |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
Locations
3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020
2550 Eastern Blvd
Montgomery, AL 36117
Phone (334) 274-2020
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
110 Consumer Sq
Plattsburgh, NY 12901
Phone (518) 562-0200
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
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.
-
- Optometrist
- Lithonia, GA
- NPI 1174105936
-
dba Empire Vision Centers
- Technician/Technologist
- Plattsburgh, NY
- NPI 1598728115
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619942612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 EASTERN BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361171500",
"telephone_number": "334-274-2020",
"fax_number": "334-396-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISNEROS",
"first_name": "ERNEST",
"middle_name": "E.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2023-03-07",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-B01-TA-673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BOARD OF OPTOMETRY",
"identifier": "S-B01-TA-673",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.