Paul F. Vandiver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-A86-TA-680 Issued in AL

Practice address

4929 University Dr NW
Suite F
Huntsville, AL 35816-1862

Phone

(256) 964-2020

Fax

(256) 830-5239

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Eye Clinic, PCGroup PAC ID 7719144542, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athens Eye Clinic, PC

  • Optometrist
  • Athens, AL
  • NPI 1871871277
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551
  Medicare reassignment NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Huntsville, AL
  • NPI 1568972412
  NPD
• Myeyedr Optometry of Alabama, LLC

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750356762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736102",
            "telephone_number": "205-661-2080",
            "fax_number": "205-661-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 UNIVERSITY DR NW",
            "address_2": "SUITE F",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161862",
            "telephone_number": "256-964-2020",
            "fax_number": "256-830-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "PAUL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A86-TA-680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051528869",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932978",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116545",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BOARD OF OPTOMETRY",
            "identifier": "S-A86-TA-680",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Brittany Van Steenis, LPC
• Michael Allen Vanbeukering, DDS
• Carol Diane Vancil, BCBA
• Sara Terry Vanderburg, RN-BSN
• Katrina A Vanderford, CRNP
• Heather Vandyke
• Jay Vangerpen, MD
• Rachel Elizabeth Vanhooser, CRNP
• Prasad S Vankineni, MD
• Rekha Vankineni, M.D.

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.