AMY H VINOGRADOV (OD) – Optometrist, NPI 1164914461

AMY H VINOGRADOV (OD) is a healthcare provider. based in Birmingham, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T-236-TA-B19 (AL). The NPI Number for AMY H VINOGRADOV (OD) is 1164914461

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMY H VINOGRADOV (OD)
NPI
1164914461
Phone
(205) 975-2020
Address
1716 UNIVERSITY BLVD # G090A
Enumeration Date
1 June 2018
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8653979991
Graduation Year
2018 (8 years ago)
PAC ID
9931457991
Group Practice PAC ID
3779628607
Professional Enrollment ID
I20220118000685
Address ID
TN377254578DA334XXSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

620 OPTOMETRY in AL

Provider Addresses for AMY H VINOGRADOV (OD)

  • 1716 UNIVERSITY BLVD # G090A

    BIRMINGHAM, AL 352331816

    Phone: (205) 975-2020

    Fax: (205) 934-6755

    Type: Mailing

  • 334 HIGHWAY 92 S STE 7

    DANDRIDGE, TN 377254578

    Phone: (865) 397-9991

    Fax: (865) 940-1401

    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 $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Alcon Vision LLC ($47).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$47
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: 2022-01-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180807003711IOptometryALTBD
I20220118000685IOptometryTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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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: 3779628607View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What is the standard ID for AMY H VINOGRADOV (OD) in the U.S.?
In the U.S., AMY H VINOGRADOV (OD) is identified by NPI 1164914461.
Should I treat AMY H VINOGRADOV (OD) as an active provider?
Patients and plans typically see AMY H VINOGRADOV (OD) as active in the national extract.
How should patients interpret AMY H VINOGRADOV (OD)'s specialty?
The extract shows Optometrist for AMY H VINOGRADOV (OD). Clinical services aligned with this taxonomy classification.
What city is tied to AMY H VINOGRADOV (OD)?
The directory associates AMY H VINOGRADOV (OD) with Birmingham, Alabama. Check all listed addresses for suites or satellite offices.
Can I export AMY H VINOGRADOV (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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