Individual provider Active NPI

Jennifer Riggs Pate, O.D.

  • Optometrist
  • Hoover, AL
National Provider Identifier
1689707754
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S832TA383 Issued in AL
Practice address
2000 Riverchase Galleria Ste 241
Hoover, AL 35244-2322
Phone
(205) 985-0925
Fax
(205) 985-7880
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S832TA383 AL Primary

Addresses

Primary practice location

2000 Riverchase Galleria Ste 241
Hoover, AL 35244-2322

Mailing address

5126 Valeridge Cir
Hoover, AL 35244-8601
Phone (205) 425-7877

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
I20200324003357 AL Practitioner - Optometry 0840500237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S832TA383ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Mar 3, 2020 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Mar 3, 2020 Accepting new patients
Norwood Clinic Inc Past Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

1716 University Blvd
Birmingham, AL 35294

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1689707754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 VALERIDGE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352448601",
            "telephone_number": "205-425-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVERCHASE GALLERIA STE 241",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442322",
            "telephone_number": "205-985-0925",
            "fax_number": "205-985-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "JENNIFER",
        "middle_name": "RIGGS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S832TA383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.