Individual provider Active NPI

Nathan E Parvin, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1689765794
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-A83-TA-662 Issued in AL
Practice address
1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010
Phone
(205) 975-2020
Fax
(205) 934-6755
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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-A83-TA-662 AL Primary

Addresses

Primary practice location

1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010

Mailing address

1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010
Phone (205) 975-2020

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAL

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
I20040907000252 AL Practitioner - Optometry 2163498619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2539 John Hawkins Pkwy
Suite 101 218
Hoover, AL 35244-3558

969 US Hwy 80 W
Demopolis, AL 36732-4102
Phone (334) 289-9524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-A83-TA-662ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Icare LLC Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Landreth & Associates Inc Optometrist CurrentSince Jul 26, 2012 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jun 15, 2015 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 15, 2015 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35294

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

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

969 US Highway 80 W
Demopolis, AL 36732
Phone (205) 393-1587

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

659 Tuscaloosa St
Greensboro, AL 36744
Phone (334) 624-3066

2539 John Hawkins Pkwy
Ste 101218
Hoover, AL 35244

3519 Watermelon Rd
Northport, AL 35473
Phone (205) 345-1520

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

Interoperability endpoints

  • Direct secure messaging: nathan.parvin.1@11347.direct.athenahealth.com

Organizations & group practices 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1689765794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "HPB G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "HPB G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVIN",
        "first_name": "NATHAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A83-TA-662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.