Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Maisonville

Individual provider Optometrist · NPI 1497360002

Ian Maisonville is an Optometry in Pelham, Alabama. Graduated from University Alabama Birmingham - School of Optometry in 2020, 6 years ago. Practices with Eye Center of Oak Ridge, PC, a 14-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

3017 Indian Crest Dr
Pelham, AL 35124-4701
Phone: (205) 529-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3645 (TN)

Record details

NPI number1497360002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020
Mailing address3017 Indian Crest Dr, Pelham, AL 35124-4701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Eye Center Of Oak Ridge,Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pelham