Active NPI
Todd McDowell, O.D.
- Optometrist
- Birmingham, AL
National Provider Identifier
1629265459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S613TA334
- Practice address
- 428 Poinciana Dr
Birmingham, AL 35209-4150 - Phone
- (205) 871-8383
- NPI assigned
- Sep 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S613TA334 | AL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | S613TA334 | AL | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | S613TA334 | AL |
Addresses
Primary practice location
428 Poinciana Dr
Birmingham, AL 35209-4150
Mailing address
428 Poinciana Dr
Birmingham, AL 35209-4150
Phone (205) 871-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S613TA334 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1629265459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 POINCIANA DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094150",
"telephone_number": "205-871-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 POINCIANA DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094150",
"telephone_number": "205-871-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S613TA334",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AL",
"license": "S613TA334",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "AL",
"license": "S613TA334",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.