Kenneth Charles Pair, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S639TA070 Issued in AL

Practice address

2615 McFarland Blvd E
Tuscaloosa, AL 35405-1803

Phone

(205) 556-4180

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pair Vision Center PC

  • Optometrist
  • Birmingham, AL
  • NPI 1194853812
  Medicare reassignment NPD Authorized official
• Pairs West Alabama Eyecare

  • Eyewear Supplier
  • Tuscaloosa, AL
  • NPI 1790871820
  NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1164519666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DEVEREUX CIR STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432558",
            "telephone_number": "205-879-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 MCFARLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051803",
            "telephone_number": "205-556-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Devereux Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432558",
            "country_code": "US",
            "telephone_number": "205-879-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIR",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S639TA070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "58471",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58471",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taurrya Janae Owens
• Clara R Owings, FNP-BC
• Nkechi Ozojiofor
• Mariah Bordelon Pace, R.D.
• Paige Certified Residental Facility
• Pairs West Alabama Eyecare
• Haley Brooke Page Palmer, FNP-C
• Jennifer Renee Palmer, MD
• Michael Leroy Palmer, M.D.
• Joanna Pan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.