Samuel D Pierce, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S650-TA-117 Issued in AL

Practice address

133 Chalkville Rd
Trussville, AL 35173

Phone

(205) 655-4838

Fax

(205) 655-6996

NPI assigned

Nov 10, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551
  Medicare reassignment Care Compare group NPD
• Samuel D. Pierce, O.D., P.C.

  • Optometrist
  • Trussville, AL
  • NPI 1750449542
  Authorized official Same address or phone
• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Birmingham, AL
  • NPI 1174033955
  NPD
• Myeyedr Optometry of Alabama, LLC

  dba MyEyeDr.

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801877311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-655-4838",
            "fax_number": "205-655-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-655-4838",
            "fax_number": "205-655-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S650-TA-117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry East, LLC
• Sarah Robertson Pendleton, MSW, LCSW
• Kristin Swindle Penuel, ALC
• Deena Lynn Phillips, RPH
• Howard Phillips, PHARMD
• Christopher Brandon Pierson
• Pillar Trussville LLC
• Miracle Pitts
• Alexander Braden Plagenhoef, DDS
• Leslie Taylor Pounds, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.