Individual provider Active NPI

Jo Ann King, OD

  • Optometrist
  • Mobile, AL
National Provider Identifier
1740387158
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-534-TA-272 Issued in AL
Practice address
9 Dauphin St
Ste 101
Mobile, AL 36602-3705
Phone
(251) 438-1153
Fax
(251) 433-9829
NPI assigned
Sep 20, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S534-TA272 AL
Optometrist 152W00000X S-534-TA-272 AL Primary

Addresses

Primary practice location

9 Dauphin St
Ste 101
Mobile, AL 36602-3705

Mailing address

9 Dauphin St
Ste 101
Mobile, AL 36602-3705
Phone (251) 438-1153

Other identifiers 1

IdentifierTypeStateIssuer
1740387158OtherALNPI

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
I20090602000384 AL Practitioner - Optometry 5597703553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Dauphin St
Suite 101
Mobile, AL 36602-3705
Phone (251) 438-1153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-534-TA-272ALMDOptometrist
S534-TA272ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
Dr. Jo Ann Graffeo-King, O.D. Optometrist Current Accepting new patients
University of Alabama at Birmingham CurrentSince Nov 12, 2023 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Nov 12, 2023 Accepting new patients
Joseph D Barlar O.D., P.C. PastSince Nov 4, 2017 Accepting new patients

Locations

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

5256 Highway 90 W
Ste B
Mobile, AL 36619
Phone (251) 666-6026

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1740387158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DAUPHIN ST",
            "address_2": "STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366023705",
            "telephone_number": "251-438-1153",
            "fax_number": "251-433-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAUPHIN ST",
            "address_2": "STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366023705",
            "telephone_number": "251-438-1153",
            "fax_number": "251-433-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JO ANN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S534-TA272",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-534-TA-272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740387158",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.