Individual provider Active NPI

Molly Tipton

  • Optometrist
  • Albertville, AL
National Provider Identifier
1679066401
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E15 Issued in AL
Practice address
418 Martling Rd
Albertville, AL 35951-7208
Phone
(256) 878-4201
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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-E15 AL Primary

Addresses

Primary practice location

418 Martling Rd
Albertville, AL 35951-7208

Mailing address

418 Martling Rd
Albertville, AL 35951-7208
Phone (256) 878-4201

Other identifiers 1

IdentifierTypeStateIssuer
S-E15OtherALTEMPORARY ALABAMA LICENSURE

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
I20181226002244 AL Practitioner - Optometry 4183969900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Vision Eye Care LLCGroup PAC ID 2365859170, 2 clinicians

Practice addresses (Care Compare)

230 1St Ave E
Oneonta, AL 35121-1734
Phone (205) 625-5520

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E15ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Vision Eye Care LLC Optometrist CurrentSince Mar 17, 2020 Accepting new patients

Locations

308 6th St S
Ste 105
Oneonta, AL 35121
Phone (205) 625-5520

230 1st Ave E
Oneonta, AL 35121
Phone (205) 625-5520

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1679066401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517208",
            "telephone_number": "256-878-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517208",
            "telephone_number": "256-878-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "MOLLY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY ALABAMA LICENSURE",
            "identifier": "S-E15",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.