NPIMap

Organization Active NPI

Tuscaloosa Ophthalmology, P.C.

  • Specialist
  • Tuscaloosa, AL
National Provider Identifier
1851496087
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TUSCALOOSA OPHTHALMOLOGY, P.C.
Practice address
535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751
Phone
(205) 556-2121
Fax
(205) 554-0152
NPI assigned
Sep 13, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Ernest Van Johnson, M.D.NPI 1477578110
Title
Owner/Physician
Phone
(205) 556-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751

Mailing address

535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751
Phone (205) 556-2121

Other practice location 1

255 Medical Dr Ste 4
Winfield, AL 35594-5005
Phone (205) 556-2121

National Provider Directory

National Provider Directory
Tax ID family
Tuscaloosa Ophthalmology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

535 Jack Warner Pkwy NE
Ste B1
Tuscaloosa, AL 35404
Phone (205) 556-2121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1851496087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE B-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE B-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945005",
            "country_code": "US",
            "telephone_number": "205-556-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUSCALOOSA OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "205-556-2121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.