Organization Active NPI

Pair Vision Center PC

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1194853812
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S639TA070 Issued in AL
Legal business name
PAIR VISION CENTER PC
Practice address
3532 Vann Rd
Suite 102
Birmingham, AL 35235-3262
Phone
(205) 655-1335
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Kenneth C Pair, ODNPI 1164519666
Title
Optometrist
Phone
(205) 655-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S639TA070 AL Primary

Addresses

Primary practice location

3532 Vann Rd
Suite 102
Birmingham, AL 35235-3262

Mailing address

3532 Vann Rd
Suite 102
Birmingham, AL 35235-3262
Phone (205) 655-1335

Other identifiers 6

IdentifierTypeStateIssuer
98190OtherALBCBS FEDERAL
011065OtherALNVA
117683OtherALEYEMED
98190OtherALBCBS
18179OtherALAVESIS
10120OtherALSPECTERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000813 AL Part B Supplier - Clinic/Group Practice 2264699610 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

3532 Vann Rd
Ste 106
Birmingham, AL 35235
Phone (205) 655-1335

5850 Valley Rd
Ste 130
Birmingham, AL 35235
Phone (205) 655-1335

3532 Vann Rd
Ste 102
Trussville, AL 35235
Phone (205) 508-3415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1194853812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 VANN RD",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353262",
            "telephone_number": "205-655-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 VANN RD",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353262",
            "telephone_number": "205-655-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIR VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PAIR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "205-655-1335",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S639TA070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "98190",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "011065",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "117683",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98190",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "18179",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "10120",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.