Individual provider Active NPI

Jennifer Michelle Craig, O.D.

  • Optometrist
  • Irondale, AL
National Provider Identifier
1831537356
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C96 Issued in AL
Practice address
1600 Montclair Rd
Irondale, AL 35210-2410
Phone
(205) 951-3268
Fax
(205) 956-9753
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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-C96 AL Primary

Addresses

Primary practice location

1600 Montclair Rd
Irondale, AL 35210-2410

Mailing address

3550 Grandview Pkwy
Apartment 237
Birmingham, AL 35243-1949
Phone (205) 566-2720

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
I20130930000316 AL Practitioner - Optometry 2062646326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C96ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Mar 24, 2020 Accepting new patients
Dr. Brian R. Pettie Eyecare, PC Optometrist CurrentSince Jul 8, 2013 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Mar 24, 2020 Accepting new patients

Locations

9248 Parkway E
Birmingham, AL 35206
Phone (205) 833-0524

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

1600 Montclair Rd
Irondale, AL 35210
Phone (205) 951-0355

Organizations & group practices 4

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1831537356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 GRANDVIEW PKWY",
            "address_2": "APARTMENT 237",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431949",
            "telephone_number": "205-566-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102410",
            "telephone_number": "205-951-3268",
            "fax_number": "205-956-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C96",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

Verify at the official NPI Registry.