Active NPI
Molly Tipton
- Optometrist
- Albertville, AL
National Provider Identifier
1679066401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-E15
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S-E15 | Other | AL | TEMPORARY 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
230 1St Ave E
Oneonta, AL 35121-1734
Phone (205) 625-5520
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-E15 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Vision Eye Care LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.