Individual provider Active NPI

Jessica Palmer, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1972597102
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SB12TA694 Issued in AL
Practice address
13521 Old Highway 280
Suite 233
Birmingham, AL 35242-1405
Phone
(205) 980-4530
NPI assigned
Sep 2, 2005
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SB12TA694 AL Primary

Addresses

Primary practice location

13521 Old Highway 280
Suite 233
Birmingham, AL 35242-1405

Mailing address

PO Box 406
Chelsea, AL 35043-0406
Phone (205) 585-0033

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
I20050927001309 AL Practitioner - Optometry 3274568449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica Palmer, O.D., LLCGroup PAC ID 0345340204, 2 clinicians

Practice addresses (Care Compare)

10699 Old Hwy 280
Unit 1
Chelsea, AL 35043-8221
Phone (205) 980-4530

6 N Elm Ave
Sylacauga, AL 35150-2426
Phone (256) 369-2838

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SB12TA694ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Palmer, O.D., LLC Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Robert G Carden Optometrist Past Accepting new patients
Inverness Eye Care Optometrist Past Accepting new patients

Locations

13521 Old Highway 280
Ste 233
Birmingham, AL 35242
Phone (205) 980-4530

10699 Old Highway 280
Unit 1
Chelsea, AL 35043
Phone (205) 585-6554

Organizations & group practices 3

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1972597102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350430406",
            "telephone_number": "205-585-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 OLD HIGHWAY 280",
            "address_2": "SUITE 233",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421405",
            "telephone_number": "205-980-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB12TA694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.