Active NPI
Steven W. Simpson, O.D.
- Optometrist
- Huntsville, AL
National Provider Identifier
1750394276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-478-TA-303
- Practice address
- 2200 Sparkman Dr NW
Wal Mart Vision Center
Huntsville, AL 35810-3820 - Phone
- (256) 859-1855
- Fax
- (256) 859-1821
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-478-TA-303 | AL | Primary |
Addresses
Primary practice location
2200 Sparkman Dr NW
Wal Mart Vision Center
Huntsville, AL 35810-3820
Mailing address
2200 Sparkman Dr NW
Wal Mart Vision Center
Huntsville, AL 35810-3820
Phone (256) 859-1855
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21131 | Other | AL | SPECTERA |
| 47818 | Other | AL | DAVIS VISION |
| 51501895 | Other | AL | BCBSAL FLORENCE |
| 924781 | Other | AL | BLOCK VISION |
| 23205 | Other | AL | SPECTERA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728000871 | AL | Practitioner - Optometry | 6103896071 | Practice locations: Huntsville, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-478-TA-303 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750394276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SPARKMAN DR NW",
"address_2": "WAL MART VISION CENTER",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103820",
"telephone_number": "256-859-1855",
"fax_number": "256-859-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SPARKMAN DR NW",
"address_2": "WAL MART VISION CENTER",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103820",
"telephone_number": "256-859-1855",
"fax_number": "256-859-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "STEVEN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-478-TA-303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "21131",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "47818",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL FLORENCE",
"identifier": "51501895",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "924781",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "23205",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.