DR. PARISA TACKETT DUDLEY (O.D.) – Optometrist, NPI 1063505097

DR. PARISA TACKETT DUDLEY (O.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. SA81TA666 (AL). The NPI Number for DR. PARISA TACKETT DUDLEY (O.D.) is 1063505097

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PARISA TACKETT DUDLEY (O.D.)
NPI
1063505097
Phone
Not provided
Address
PO BOX 830941, MSC #559
Enumeration Date
2 October 2006
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2053258620
Graduation Year
2004 (22 years ago)
PAC ID
8224091285
Group Practice PAC ID
9234023417
Professional Enrollment ID
I20041110000619
Address ID
AL352333802BI700XXSXXX402

Contacts

Secure Messaging
parisa.dudley.p1@direct.uabmc.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

619 OPTOMETRY in AL

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Provider Addresses for DR. PARISA TACKETT DUDLEY (O.D.)

  • PO BOX 830941, MSC #559

    BIRMINGHAM, AL 35283

    Phone:

    Type: Mailing

  • 601, 18th Street South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352333800

    Phone: (205) 325-8620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($20).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041110000619IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes380359$0
92134Imaging of retina191188$0
92133Imaging of optic nerve7777$0
99204New patient office or other outpatient visit, 45-59 minutes6868$0
99213Established patient office or other outpatient visit, 20-29 minutes5444$0
View full utilization report →

Insurance plans in this area (ZIP 35283)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234023417View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YMI
-AL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
O P T O M E T R YGA
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
-AL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

What is DR. PARISA TACKETT DUDLEY (O.D.)'s NPI number?
DR. PARISA TACKETT DUDLEY (O.D.)'s NPI is 1063505097 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. PARISA TACKETT DUDLEY (O.D.)?
For scheduling context, DR. PARISA TACKETT DUDLEY (O.D.) is shown as active in the registry.
What kind of doctor is DR. PARISA TACKETT DUDLEY (O.D.)?
DR. PARISA TACKETT DUDLEY (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Alabama is DR. PARISA TACKETT DUDLEY (O.D.) registered?
Use Birmingham, Alabama as the headline location for DR. PARISA TACKETT DUDLEY (O.D.) here.
Can I trust this NPI listing for DR. PARISA TACKETT DUDLEY (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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