Individual provider Active NPI

David Pickrell, O.D.

  • Optometrist
  • Talladega, AL
National Provider Identifier
1740341445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S714-TA328 Issued in AL
Practice address
300 East St N
Talladega, AL 35160-2085
Phone
(205) 913-8747
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S714-TA328 AL Primary

Addresses

Primary practice location

300 East St N
Talladega, AL 35160-2085

Mailing address

PO Box 203
Birmingham, AL 35201-0203
Phone (205) 913-8747

Other identifiers 5

IdentifierTypeStateIssuer
510-58237OtherALBC-BS OF ALABAMA
113959OtherALEYEMED
009949205MedicaidAL
000058237MedicaidAL
515-16691OtherALBC-BS OF ALABAMA

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
I20050913001043 AL Practitioner - Optometry 8224078415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheaha Eye Associates PCGroup PAC ID 6901846195, 2 clinicians

Practice addresses (Care Compare)

300 E St N
Suite F
Talladega, AL 35160-2074
Phone (256) 362-5800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S714-TA328ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheaha Eye Associates PC Optometrist CurrentSince Sep 21, 1990 Accepting new patients
Cheaha Eye Associates, P.C.--Inverness Optometrist Past Accepting new patients
Eye Health Partners of Alabama Inc Optometrist PastSince Aug 27, 2004 Accepting new patients
Cheaha Eye Associates, P.C.--McCalla Optometrist Past Accepting new patients

Locations

5401 Beacon Dr
Irondale, AL 35210
Phone (205) 951-0355

4817 McAdory School Rd
Ste 101
Mc Calla, AL 35111
Phone (205) 425-1323

300 East St N
Ste F
Talladega, AL 35160
Phone (256) 362-5800

300 East St N
Talladega, AL 35160
Phone (205) 362-5800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740341445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352010203",
            "telephone_number": "205-913-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST ST N",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602085",
            "telephone_number": "205-913-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S714-TA328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS OF ALABAMA",
            "identifier": "510-58237",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "113959",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009949205",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058237",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS OF ALABAMA",
            "identifier": "515-16691",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.