Individual provider Active NPI

Judson Lee Harrison, O.D.

  • Optometrist
  • Warrior, AL
National Provider Identifier
1649838764
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E23-TA-B51 Issued in AL
Practice address
9821 Old Highway 31
Warrior, AL 35180-1833
Phone
(205) 647-3937
NPI assigned
Jun 4, 2019
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 S-E23-TA-B51 AL Primary

Addresses

Primary practice location

9821 Old Highway 31
Warrior, AL 35180-1833

Mailing address

PO Box 207243
Dallas, TX 75320-7243
Phone (636) 200-4393

Other practice location 1

800 Oxford Exchange Blvd
Oxford, AL 36203-3465
Phone (256) 419-2002

Other practice location 2

10699 Old Highway 280 Unit 2
Chelsea, AL 35043-8221
Phone (205) 980-4530

Other practice location 3

225 State Farm Pkwy Ste 109
Birmingham, AL 35209-7346
Phone (205) 942-0377

Other practice location 4

230 Doug Baker Blvd Ste 100
Hoover, AL 35242-2684
Phone (205) 981-0103

Other practice location 5

4500 Valleydale Rd Ste 700
Birmingham, AL 35242-4634
Phone (205) 995-0700

Other practice location 6

2603 Moody Pkwy Ste 102
Moody, AL 35004-3063
Phone (205) 640-2020

Other practice location 7

1825 Tin Valley Cir Ste A
Birmingham, AL 35235-3248
Phone (205) 661-2020

Other practice location 8

3165 Green Valley Rd
Vestavia, AL 35243-5262
Phone (205) 967-2103

Other practice location 9

3099 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2261
Phone (205) 491-8755

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
I20191118000001 AL Practitioner - Optometry 1052743861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2019
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)

9821 Old Hwy 31
Warrior, AL 35180-1833
Phone (205) 647-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E23-TA-B51ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Nov 13, 2023 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Jessica Palmer, O.D., LLC Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Nov 13, 2023 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
Eyecare Associates, Inc. Optometrist Past Accepting new patients

Locations

1825 Tin Valley Cir
#A
Birmingham, AL 35235
Phone (205) 661-2020

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

4500 Valleydale Rd
Ste 700
Birmingham, AL 35242
Phone (205) 995-0700

10699 Old Highway 280
Unit 1
Chelsea, AL 35043
Phone (205) 585-6554

230 Doug Baker Blvd
Ste 100
Hoover, AL 35242
Phone (205) 981-0103

3099 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 491-8755

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

2603 Moody Pkwy
Moody, AL 35004
Phone (205) 640-2020

2603 Moody Pkwy
Ste 102
Moody, AL 35004
Phone (205) 640-2020

3165 Green Valley Rd
Vestavia, AL 35243
Phone (205) 967-2103

9821 Old Highway 31
Warrior, AL 35180
Phone (205) 647-3937

Organizations & group practices 7

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1649838764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 OLD HIGHWAY 31",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801833",
            "telephone_number": "205-647-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oxford Exchange Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362033465",
            "country_code": "US",
            "telephone_number": "256-419-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10699 Old Highway 280 Unit 2",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "AL",
            "postal_code": "350438221",
            "country_code": "US",
            "telephone_number": "205-980-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 State Farm Pkwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352097346",
            "country_code": "US",
            "telephone_number": "205-942-0377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Doug Baker Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352422684",
            "country_code": "US",
            "telephone_number": "205-981-0103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Valleydale Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424634",
            "country_code": "US",
            "telephone_number": "205-995-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Moody Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043063",
            "country_code": "US",
            "telephone_number": "205-640-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Tin Valley Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353248",
            "country_code": "US",
            "telephone_number": "205-661-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3165 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352435262",
            "country_code": "US",
            "telephone_number": "205-967-2103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3099 Allison Bonnett Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Hueytown",
            "state": "AL",
            "postal_code": "350232261",
            "country_code": "US",
            "telephone_number": "205-491-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JUDSON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E23-TA-B51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrior, AL

Sources for this page

Verify at the official NPI Registry.