Organization Active NPI

Alabama Vision Center, LLC

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1992807259
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALABAMA VISION CENTER, LLC
Practice address
790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966
Phone
(205) 592-3911
Fax
(205) 592-3537
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Mr. Joseph Gira, MDNPI 1861481152
Title
Cmo/Authorized Official
Phone
(636) 227-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966

Mailing address

790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966
Phone (205) 592-3911

Other practice location 1

255 Medical Dr Ste 4
Winfield, AL 35594-5005
Phone (205) 592-3911

Other identifiers 2

IdentifierTypeStateIssuer
529932906MedicaidAL
N044OtherALBCBS

Other names 1

  • Alabama Vision Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000362 AL Part B Supplier - Clinic/Group Practice 5294753562 Receives reassigned benefits from 12 practitioners
Practice locations: Cullman, AL; Winfield, AL; Warrior, AL; Selma, AL; Pell City, AL; Mountain BRK, AL; Huntsville, AL; Jasper, AL…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

613 1st St N
Ste 102
Alabaster, AL 35007

790 Montclair Rd
Ste 150
Birmingham, AL 35213
Phone (205) 592-3937

1813 Kress St
Cullman, AL 35058
Phone (256) 734-6871

3810 Governors Dr NW
Unit 201
Huntsville, AL 35805

3810 Governors Dr NW
Unit 200
Huntsville, AL 35805
Phone (256) 530-0101

302 Oakhill Rd
Jasper, AL 35504
Phone (205) 221-7779

3928 Montclair Rd
Ste 100
Mountain Brk, AL 35213
Phone (205) 871-1713

7076 Veterans Pkwy
Pell City, AL 35125

801 Dallas Ave
Selma, AL 36701
Phone (205) 918-0047

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1992807259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131966",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131966",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945005",
            "country_code": "US",
            "telephone_number": "205-592-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALABAMA VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CMO/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-227-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932906",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "N044",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Vision Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.