NPIMap

Organization Active NPI

Jessica Palmer, O.D., LLC

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1730216805
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SB12TA694 Issued in AL
Legal business name
JESSICA PALMER, O.D., LLC
Practice address
13521 Old Highway 280
Suite 233
Birmingham, AL 35242-1405
Phone
(205) 980-4530
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Jessica Ann Palmer, O.D.NPI 1972597102
Title
Owner
Phone
(205) 980-4530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SB12TA694 AL Primary

Addresses

Primary practice location

13521 Old Highway 280
Suite 233
Birmingham, AL 35242-1405

Mailing address

13521 Old Highway 280
Suite 233
Birmingham, AL 35242-1405
Phone (205) 980-4530

Other names 1

  • Narrows Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070709000152 AL Part B Supplier - Clinic/Group Practice 0345340204 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Chelsea, AL; Sylacauga, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

13521 Old Highway 280
Ste 233
Birmingham, AL 35242
Phone (205) 980-4530

10699 Old Highway 280
Unit 1
Chelsea, AL 35043
Phone (205) 585-6554

10699 Old Highway 280
Bldg 2
Chelsea, AL 35043

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1730216805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 OLD HIGHWAY 280",
            "address_2": "SUITE 233",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421405",
            "telephone_number": "205-980-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 OLD HIGHWAY 280",
            "address_2": "SUITE 233",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421405",
            "telephone_number": "205-980-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA PALMER, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-980-4530",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB12TA694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Narrows Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.