Kevin W. Neal, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SA02TA581 Issued in AL

Legal business name

KEVIN W. NEAL, O.D., P.C.

Practice address

626 Olive St SW
Cullman, AL 35055-5594

Phone

(256) 775-0269

Fax

(256) 775-6871

NPI assigned

May 27, 2009

Last updated

Aug 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin W. Neal, O.D.NPI 1649263773

Title

President

Phone

(256) 520-7550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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.

• Kevin Wayne Neal, O.D.

  • Optometrist
  • Cullman, AL
  • NPI 1649263773
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1013142587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 OLIVE ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555594",
            "telephone_number": "256-775-0269",
            "fax_number": "256-775-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 OLIVE ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555594",
            "telephone_number": "256-775-0269",
            "fax_number": "256-775-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN W. NEAL, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-520-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA02TA581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Kent
• Marissa Lynae Kent
• Jennifer Keough
• Ashley A Ketchum, D.O.
• Kevin Johnson MD PC
• Ajmal Muhammad Khan, MD
• Stephanie Kilgo, BS
• David Yongtae Kim, DMD
• Cynthia L Kimbrough, CRNP
• Darcel King, LICSW

• Optometrist in Cullman, AL
• Providers in Cullman, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.