Jonathan Gravlee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E25-TA-B50 Issued in AL

Practice address

1686 Montgomery Hwy
Hoover, AL 35216-4906

Phone

(205) 979-2020

Fax

(205) 978-6487

NPI assigned

Aug 10, 2019

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2019

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Birmingham, AL
  • NPI 1205346095
  NPD
• Myeyedr Optometry of Alabama, LLC

  dba MyEyeDr.

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD
• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Birmingham, AL
  • NPI 1922518943
  NPD (past)
• Schaeffer Eye Center, Inc.

  dba Schaeffer Eye Center

  • Optometrist
  • Birmingham, AL
  • NPI 1235670761
  NPD (past)

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1245886837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164906",
            "telephone_number": "205-979-2020",
            "fax_number": "205-978-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVLEE",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E25-TA-B50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Govea, M.D.
• James Nathaniel Graham, LPC
• Breah Grant, LICSW
• Jerry Allen Grant Jr., DO
• Richard Lowell Grantier III, M.D.
• Matthew James Gray
• Shantel Gray, PHARMD
• Brooke Grayson, PHARMD
• Grear Child and Adolescent Counseling LLC
• Mary Ann Grear, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.