Active NPI
Brian W Roberts, O.D.
- Optometrist
- Calera, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S991-TA563
- Practice address
- 5100 Highway 31
Calera, AL 35040-5154 - Phone
- (205) 668-2633
- Fax
- (205) 668-4269
- NPI assigned
- Mar 22, 2006
- Last updated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S991-TA563 | AL | Primary |
Addresses
Primary practice location
5100 Highway 31
Calera, AL 35040-5154
Mailing address
5100 Highway 31
Calera, AL 35040-5154
Phone (205) 668-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02-0691178 | Other | AL | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Alabama School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 S Perry St
Montgomery, AL 36104-4227
Phone (248) 528-2116
5100 Hwy 31
Calera, AL 35040
5100 Hwy 31
Calera, AL 35040-5154
Phone (205) 668-2633
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.77 of 100
- Quality
- 45.94
- Promoting interoperability
- 85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care Services of Al LLC | Optometrist | Current | Accepting new patients |
Locations
150 S Perry St
Montgomery, AL 36104
Phone (225) 270-1012
523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955
11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
Organizations & group practices 1
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": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1245299866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 HIGHWAY 31",
"city": "CALERA",
"state": "AL",
"postal_code": "350405154",
"telephone_number": "205-668-2633",
"fax_number": "205-668-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 HIGHWAY 31",
"city": "CALERA",
"state": "AL",
"postal_code": "350405154",
"telephone_number": "205-668-2633",
"fax_number": "205-668-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRIAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S991-TA563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "02-0691178",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calera, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.