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
Doing business as
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
Last updated
Oct 25, 2024By the provider in NPPES
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 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

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

3810 Governors Dr NW
Unit 201
Huntsville, AL 35805

9056 Memorial Pkwy SW
Bldg E
Huntsville, AL 35802
Phone (256) 678-7966

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

7076 Veterans Pkwy
Pell City, AL 35125

631 Helen Keller Blvd
Ste 100
Tuscaloosa, AL 35404
Phone (205) 758-1966

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.