Tuscaloosa Ophthalmology, P.C.

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

Organization subpart

No

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

Authorized official

Name

Ernest Van Johnson, M.D.

Title

Owner/Physician

Phone

(205) 556-2121

Specialties & licenses 1

Addresses

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.

• Tuscaloosa Ophthalmology, Inc.

  • Ophthalmology Physician
  • Tuscaloosa, AL
  • NPI 1487728218
  NPD tax ID

Practitioners 2

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

• Carrie E. Smith, O.D.

  • Optometrist
  • Hoover, AL
  • NPI 1043617285
  NPD
• Daniel M Miller, MD

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1487681987
  NPD

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": []
}

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• Specialist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Specialist in Alabama

• 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.