Individual provider Active NPI

Rodney Nowakowski, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1881616712
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S362TA069 Issued in AL
Practice address
250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone
(205) 943-4600
Fax
(205) 943-4688
NPI assigned
Jul 23, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S362TA069 AL Primary

Addresses

Primary practice location

250 State Farm Pkwy
Birmingham, AL 35209-7181

Mailing address

PO Box 415000
MSC 8290 Ehpa
Nashville, TN 37241-5000
Phone (205) 943-4600

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
I20100902000068 AL Practitioner - Optometry 0042334740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S362TA069ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Partners of Alabama Inc Optometrist CurrentSince Dec 12, 2014 Accepting new patients

Locations

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

250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1881616712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000",
            "address_2": "MSC 8290 EHPA",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372415000",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S362TA069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.