Individual provider Active NPI

Susan S Richardson, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1639271992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-781-TA-185 Issued in AL
Practice address
790 Montclair Rd Suite 150
Birmingham, AL 35213
Phone
(205) 592-3911
Fax
(205) 592-3537
NPI assigned
Sep 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 S-781-TA-185 AL Primary

Addresses

Primary practice location

790 Montclair Rd Suite 150
Birmingham, AL 35213

Mailing address

790 Montclair Rd Suite 150
Birmingham, AL 35213
Phone (205) 592-3911

Other names 1

  • Mrs. Susan S Richardson Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-781-TA-185ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Vision Center, LLC Optometrist PastSince Jul 20, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639271992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-781-TA-185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RICHARDSON",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 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.

Verify at the official NPI Registry.