Sierra M. Perry, O.D.

Individual provider Active NPI Optometrist · Mobile, AL

NPI 1679989248 · NPPES record last updated Nov 7, 2024

Key facts

NPI
1679989248
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
S-D27 (AL)
Practice address
3281 Bel Air Mall
Suite G18A
Mobile, AL 36606-3207
Phone
(251) 468-2477
Fax
(251) 468-2508
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3281 Bel Air Mall
Suite G18A
Mobile, AL 36606-3207
Phone (251) 301-6555

3281 Belair Mall
Suite G18A
Mobile, AL 36606-3207

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20141024000889 AL Practitioner - Optometry 9436370053 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Bay Vision, LLC Optometrist Current Accepting new patients
Mobile Bay Vision, LLC Optometrist Current
since Apr 15, 2015
Accepting new patients

Locations

1651 Schillinger Rd N
Semmes, AL 36575
Phone (251) 586-5909

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D27 AL Yes

Addresses

Primary practice location

3281 Bel Air Mall
Suite G18A
Mobile, AL 36606-3207

Mailing address

3281 Bel Air Mall
Suite G18A
Mobile, AL 36606
Phone (514) 682-4772

Other names

  • Dr. Sierra Bennett-Riley Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2024.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1679989248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 BEL AIR MALL",
            "address_2": "SUITE G18A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36606",
            "telephone_number": "514-682-4772",
            "fax_number": "251-468-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 BEL AIR MALL",
            "address_2": "SUITE G18A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063207",
            "telephone_number": "251-468-2477",
            "fax_number": "251-468-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SIERRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "BENNETT-RILEY",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

All providers in Mobile, AL · Optometrist in Alabama

Sources for this page

Verify at the official NPI Registry.