Active NPI
Susan Maleia Persall, OD
- Optometrist
- Hartselle, AL
National Provider Identifier
1861494841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S990TA562
- Practice address
- 1098 Highway 31 SW
Hartselle, AL 35640-2843 - Phone
- (256) 773-4418
- Fax
- (256) 773-4422
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S990TA562 | AL | Primary |
Addresses
Primary practice location
1098 Highway 31 SW
Hartselle, AL 35640-2843
Mailing address
1098 Highway 31 SW
Hartselle, AL 35640-2843
Phone (256) 773-4418
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070302000145 | AL | Practitioner - Optometry | 9739281130 | Practice locations: Hartselle, AL |
| O20100930010033 | AL | DME Supplier - Physician - Optometrist | 1850504788 | Practice locations: Hartselle, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1098 Hwy 31 SW
Hartselle, AL 35640-2843
Phone (256) 773-4418
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1861494841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 HIGHWAY 31 SW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402843",
"telephone_number": "256-773-4418",
"fax_number": "256-773-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 HIGHWAY 31 SW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402843",
"telephone_number": "256-773-4418",
"fax_number": "256-773-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSALL",
"first_name": "SUSAN",
"middle_name": "MALEIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S990TA562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.