Individual provider Active NPI

Brooke Schaeffer Kaplan, OD

  • Optometrist
  • Mountain BRK, AL
National Provider Identifier
1205197068
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C84 Issued in AL
Practice address
2737 Highway 280 S
Suite 191
Mountain BRK, AL 35223-2466
Phone
(205) 802-2020
Fax
(205) 803-0078
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C84 AL Primary

Addresses

Primary practice location

2737 Highway 280 S
Suite 191
Mountain BRK, AL 35223-2466

Mailing address

PO Box 1310
Trussville, AL 35173-6102
Phone (205) 661-2080

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
I20121008000232 AL Practitioner - Optometry 2567611544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 clinicians

Practice addresses (Care Compare)

2737 Hwy 280 S
Suite 191
Mountain BRK, AL 35223-2495
Phone (205) 396-3165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C84ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Oct 11, 2021 Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Nov 20, 2017 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Nov 20, 2017 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Oct 11, 2021 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Past Accepting new patients

Locations

2250 Bessemer Rd
Birmingham, AL 35208
Phone (205) 787-4608

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

2737 Highway 280 S
Ste 191
Mountain Brk, AL 35223
Phone (205) 802-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1205197068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736102",
            "telephone_number": "205-661-2080",
            "fax_number": "205-661-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 HIGHWAY 280 S",
            "address_2": "SUITE 191",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232466",
            "telephone_number": "205-802-2020",
            "fax_number": "205-803-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "BROOKE",
        "middle_name": "SCHAEFFER",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.