Individual provider Active NPI

Veronica Oltmanns, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1639289663
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-191-TA-865 Issued in AL
Practice address
1201 11TH Ave S
Suite 501
Birmingham, AL 35205-3410
Phone
(205) 930-0930
Fax
(205) 930-9050
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601800197 VA
Optometrist 152W00000X R-191-TA-865 AL Primary

Addresses

Primary practice location

1201 11TH Ave S
Suite 501
Birmingham, AL 35205-3410

Mailing address

1201 11TH Ave S
Suite 501
Birmingham, AL 35205-3410
Phone (205) 930-0930

Other identifiers 2

IdentifierTypeStateIssuer
009237496MedicaidVA
R-191-TA-865OtherALALABAMA STATE LICENSE

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
I20101207000696 AL Practitioner - Optometry 9436346111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

3429 Pelham Pkwy
Pelham, AL 35124-2009
Phone (205) 663-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601800197VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Dec 19, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Dec 19, 2017 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
Alabama Eye & Cataract Center PC PastSince May 17, 2017 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

4647 Highway 280
Ste C
Birmingham, AL 35242
Phone (205) 995-2020

225 State Farm Pkwy
Ste 109
Birmingham, AL 35209
Phone (205) 942-0377

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

3429 Pelham Pkwy
Pelham, AL 35124
Phone (205) 663-3937

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: veronica.oltmanns@direct.eyecare-partners.com

Organizations & group practices 9

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1639289663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "SUITE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-930-0930",
            "fax_number": "205-930-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "SUITE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-930-0930",
            "fax_number": "205-930-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMANNS",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601800197",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-191-TA-865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009237496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "R-191-TA-865",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.