Individual provider Active NPI

Mark D. McClintock, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1750384202
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-612-TA-580 Issued in AL
Practice address
3240 Edwards Lake Pkwy Ste 100
Birmingham, AL 35235-3128
Phone
(833) 733-8742
Fax
(205) 634-5640
NPI assigned
May 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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-612-TA-580 AL Primary

Addresses

Primary practice location

3240 Edwards Lake Pkwy Ste 100
Birmingham, AL 35235-3128

Mailing address

3240 Edwards Lake Pkwy Ste 100
Birmingham, AL 35235-3128
Phone (833) 733-8742

Other identifiers 3

IdentifierTypeStateIssuer
051504832OtherALBLUECROSS/BLUE SHIELD ALA
410046871OtherALRAILROAD MEDICARE
051504832MedicaidAL

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
I20100520000497 AL Practitioner - Optometry 7315076973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TVPG LLCGroup PAC ID 0143762112, 24 clinicians
Visionfirst Eye Center, IncGroup PAC ID 2769378777, 10 clinicians

Practice addresses (Care Compare)

300 1St St N
Alabaster, AL 35007-9340
Phone (833) 733-8742

3240 Edwards Lake Pkwy
Suite 100
Birmingham, AL 35235-3128
Phone (205) 949-2020

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
89.95
Improvement activities
40
Cost
76.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-612-TA-580ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TVPG LLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Visionfirst Eye Center, Inc CurrentSince Jan 2, 2002 Accepting new patients
Colonnade Surgical Partners, LLC PastSince Jul 9, 2025 Accepting new patients

Locations

300 1st St N
Alabaster, AL 35007
Phone (205) 663-2177

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

1 W Lakeshore Dr
Ste 220
Homewood, AL 35209
Phone (205) 941-2020

2010 Patton Chapel Rd
Ste 101
Hoover, AL 35216
Phone (205) 822-0233

74 Plaza Dr
Ste 203
Pell City, AL 35125

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

3240 Edwards Lake Pkwy
Ste 100
Trussville, AL 35235
Phone (205) 949-2020

Interoperability endpoints

  • Direct secure messaging: mmcclintock@visionfirst.emadirect.md

Organizations & group practices 3

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1750384202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 EDWARDS LAKE PKWY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353128",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 EDWARDS LAKE PKWY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353128",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-612-TA-580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD ALA",
            "identifier": "051504832",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046871",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051504832",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.