Individual provider Active NPI

Rena C Lewis

  • Pediatric Optometrist
  • Pelham, AL
National Provider Identifier
1265444293
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
S599TA190 Issued in AL
Practice address
2617 Highway 31 S
Pelham, AL 35124-1322
Phone
(205) 664-1575
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X S599TA190 AL Primary

Addresses

Primary practice location

2617 Highway 31 S
Pelham, AL 35124-1322

Mailing address

2617 Highway 31 S
Pelham, AL 35124-1322
Phone (205) 664-1575

Other identifiers 2

IdentifierTypeStateIssuer
U34042OtherALHEALTHSPRING OF AL
925493OtherALBLOCK VISION

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
I20050208000549 AL Practitioner - Optometry 6507817442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica Palmer, O.D., LLCGroup PAC ID 0345340204, 2 clinicians

Practice addresses (Care Compare)

10699 Old Hwy 280
Unit 1
Chelsea, AL 35043-8221
Phone (205) 980-4530

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S599TA190ALMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Eyecare Associates, Inc. Current Accepting new patients
Eyecare Associates, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
University of Alabama Ophthalmology Services Foundation Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

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

3429 Pelham Pkwy
Pelham, AL 35124
Phone (205) 663-3937

Interoperability endpoints

  • Direct secure messaging: renalewis@direct.eyecare-partners.com

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1265444293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 HIGHWAY 31 S",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 HIGHWAY 31 S",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RENA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S599TA190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF AL",
            "identifier": "U34042",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "925493",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.