Individual provider Active NPI

Charles Parker Quinn, OD

  • Optometrist
  • Mountain BRK, AL
National Provider Identifier
1346030574
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F65-TA-D65 Issued in AL
Practice address
2737 Highway 280 S Ste 191
Mountain BRK, AL 35223-2495
Phone
(205) 802-2020
NPI assigned
May 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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-F65-TA-D65 AL Primary

Addresses

Primary practice location

2737 Highway 280 S Ste 191
Mountain BRK, AL 35223-2495

Mailing address

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

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
I20250909004292 AL Practitioner - Optometry 1557864394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
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)

105 Brookridge Dr
Suite F
Madison, AL 35758-7577
Phone (256) 325-9465

1686 Montgomery Hwy
Vestavia Hills, AL 35216-4906
Phone (205) 900-7351

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

322 Main St
Trussville, AL 35173-1425
Phone (205) 900-7905

3431 Colonnade Pkwy
Suite 100
Birmingham, AL 35243-3338
Phone (205) 967-2020

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-F65-TA-D65ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Aug 18, 2025 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Aug 18, 2025 Accepting new patients

Locations

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

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

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

195 Highway 304
Calera, AL 35040
Phone (205) 668-7920

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1346030574",
    "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": "2737 HIGHWAY 280 S STE 191",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232495",
            "telephone_number": "205-802-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "CHARLES",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F65-TA-D65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.