Organization Active NPI

John a. Essinger II, O.D. P.C.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1851301188
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S77OTA218 Issued in AL
Legal business name
JOHN A. ESSINGER II, O.D. P.C.
Practice address
1806 Southwood Rd
Birmingham, AL 35216-1416
Phone
(205) 567-8606
Fax
(205) 822-8606
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. John A Essinger, O.D.NPI 1790705424
Title
President
Phone
(205) 567-8606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S77OTA218 AL Primary

Addresses

Primary practice location

1806 Southwood Rd
Birmingham, AL 35216-1416

Mailing address

PO Box 660158
Birmingham, AL 35266-0158
Phone (205) 567-8606

Other identifiers 1

IdentifierTypeStateIssuer
000046365MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000243 AL Part B Supplier - Clinic/Group Practice 8628152519 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1851301188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660158",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660158",
            "telephone_number": "205-567-8606",
            "fax_number": "205-822-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SOUTHWOOD RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161416",
            "telephone_number": "205-567-8606",
            "fax_number": "205-822-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. ESSINGER II, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "ESSINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-567-8606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S77OTA218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046365",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.