Individual provider Active NPI

Ashley V Boyd, OD

  • Optometrist
  • Cullman, AL
National Provider Identifier
1255985735
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E30-TA-B60 Issued in AL
Practice address
601B Graham St SW
Cullman, AL 35055-5298
Phone
(256) 734-8514
Fax
(256) 734-8392
NPI assigned
Aug 1, 2019
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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-E30-TA-B60 AL Primary

Addresses

Primary practice location

601B Graham St SW
Cullman, AL 35055-5298

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1654 Gadsden Hwy
Birmingham, AL 35235-3104
Phone (205) 655-9452

Other names 1

  • Ashley L Van Lede Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL avanlede@uab.edu

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
I20191019000105 AL Practitioner - Optometry 7911238175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 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)

601 B Graham St SW
Cullman, AL 35055-5298
Phone (256) 734-8514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Past Accepting new patients

Locations

2019 Highland Ave S
Birmingham, AL 35205
Phone (205) 328-2020

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

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

601B Graham St SW
Cullman, AL 35055
Phone (256) 734-8514

1686 Montgomery Hwy
Hoover, AL 35216
Phone (205) 900-3746

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

2617 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-1575

322 Main St
Trussville, AL 35173
Phone (205) 445-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1255985735",
    "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",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B GRAHAM ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555298",
            "telephone_number": "256-734-8514",
            "fax_number": "256-734-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1654 Gadsden Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353104",
            "country_code": "US",
            "telephone_number": "205-655-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ASHLEY",
        "middle_name": "V",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E30-TA-B60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "avanlede@uab.edu",
            "affiliation": "N",
            "address_1": "1654 Gadsden Hwy",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "VAN LEDE",
            "middle_name": "L",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.