JOHNATHAN BLAKE LAWSON (OD) – Optometrist, NPI 1376282806

JOHNATHAN BLAKE LAWSON (OD) is a healthcare provider. based in Birmingham, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-F03-TA-C59 (AL). The NPI Number for JOHNATHAN BLAKE LAWSON (OD) is 1376282806

Main info

Male
Sole Proprietor
4 Years Of Experience
Name
JOHNATHAN BLAKE LAWSON (OD)
NPI
1376282806
Phone
(205) 975-2020
Address
1716 UNIVERSITY BLVD G080A
Enumeration Date
2 June 2022
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2059850971
Graduation Year
2022 (4 years ago)
PAC ID
2466830070
Group Practice PAC ID
3577975291
Professional Enrollment ID
I20220609000845
Address ID
AL352441248HO1717XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for JOHNATHAN BLAKE LAWSON (OD)

  • 1716 UNIVERSITY BLVD G080A

    BIRMINGHAM, AL 352940010

    Phone: (205) 975-2020

    Type: Mailing

  • 1717 MONTGOMERY HWY STE 117

    HOOVER, AL 352441248

    Phone:

    Fax: (205) 623-3045

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,128.

Total Amount is formed as General ($1,128) + Research ($0) + Ownership ($0) = $1,128.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($184).

Total Amount

$1,128

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

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: 2022-06-09

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
I20220609000845IOptometryALTBD

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 minutes3024$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 35294)

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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: 3577975291View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YOH
O P T O M E T R YKY
O P T O M E T R YAL
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YCT

Reviews

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Frequently asked questions

Does JOHNATHAN BLAKE LAWSON (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHNATHAN BLAKE LAWSON (OD) uses 1376282806.
Is JOHNATHAN BLAKE LAWSON (OD) listed as active for patients and plans?
The listing shows JOHNATHAN BLAKE LAWSON (OD) as active in the NPI system.
What taxonomy line describes JOHNATHAN BLAKE LAWSON (OD)?
For research purposes, treat JOHNATHAN BLAKE LAWSON (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does JOHNATHAN BLAKE LAWSON (OD) list a practice location?
Patients near Birmingham, Alabama may find JOHNATHAN BLAKE LAWSON (OD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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