Individual provider Active NPI

Debra H. Brown, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1073501268
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S492TA019 Issued in AL
Practice address
5510 Highway 280
Suite 213
Birmingham, AL 35242-6582
Phone
(205) 981-0103
Fax
(205) 981-6428
NPI assigned
Oct 11, 2005
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S492TA019 AL Primary

Addresses

Primary practice location

5510 Highway 280
Suite 213
Birmingham, AL 35242-6582

Mailing address

5510 Highway 280
Suite 213
Birmingham, AL 35242-6582
Phone (205) 981-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000643 AL Practitioner - Optometry 0244355105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S492TA019ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients

Locations

5510 Highway 280
Ste 213
Birmingham, AL 35242
Phone (205) 824-7184

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

3165 Green Valley Rd
Vestavia, AL 35243
Phone (205) 967-2103

Interoperability endpoints

  • Direct secure messaging: dbrown@direct.eyecare-partners.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1073501268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 HIGHWAY 280",
            "address_2": "SUITE 213",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426582",
            "telephone_number": "205-981-0103",
            "fax_number": "205-981-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 HIGHWAY 280",
            "address_2": "SUITE 213",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426582",
            "telephone_number": "205-981-0103",
            "fax_number": "205-981-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEBRA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S492TA019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.