Individual provider Active NPI

Johnny H Lott Jr., O.D.

  • Optometrist
  • Decatur, AL
National Provider Identifier
1962736660
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C01-TA-834 Issued in AL
Practice address
2301 Point Mallard Dr SE
Decatur, AL 35601-6741
Phone
(954) 937-6101
NPI assigned
Sep 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C01-TA-834 AL Primary

Addresses

Primary practice location

2301 Point Mallard Dr SE
Decatur, AL 35601-6741

Mailing address

2301 Point Mallard Dr SE
Decatur, AL 35601-6741
Phone (954) 937-6101

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
I20100803000817 AL Practitioner - Optometry 3173656766 Reassigns benefits to 1 organization
Practice locations: Madison, AL; Decatur, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Optometry Al LLCGroup PAC ID 5496192700, 7 clinicians

Practice addresses (Care Compare)

110 College St
Suite B
Athens, AL 35611-2714
Phone (256) 233-2393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Optometry Al, LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Jay Lott OD Optometrist Past Accepting new patients

Locations

110 College St
Ste B
Athens, AL 35611
Phone (256) 233-2393

201 6th Ave SE
Decatur, AL 35601
Phone (256) 233-2393

8200 Whitesburg Dr SW
Huntsville, AL 35802
Phone (256) 800-8058

12181 County Line Rd
Ste 190
Madison, AL 35758
Phone (256) 233-2393

16035 Highway 72
Rogersville, AL 35652
Phone (256) 247-5252

7501 Paragon Rd
Ste 201
Dayton, OH 45459

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1962736660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 POINT MALLARD DR SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016741",
            "telephone_number": "954-937-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 POINT MALLARD DR SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016741",
            "telephone_number": "954-937-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "JOHNNY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C01-TA-834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.