Individual provider Active NPI

Caitlin Gregory, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1366899478
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D62-TA-A48 Issued in AL
Practice address
9709 Parkway E Ste a&B
Birmingham, AL 35215-7853
Phone
(205) 836-2020
Fax
(205) 836-1340
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S- D62 AL
Optometrist 152W00000X S-D62-TA-A48 AL Primary

Addresses

Primary practice location

9709 Parkway E Ste a&B
Birmingham, AL 35215-7853

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

4606 Highway 280
Ste 116
Birmingham, AL 35242-8127
Phone (205) 919-4008

Other practice location 2

350 Hallman Hl E Ste 81
Homewood, AL 35209
Phone (205) 871-7767

Other names 1

  • Caitlin Skislak Other name

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
I20160907001110 AL Practitioner - Optometry 6305132036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2016
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)

2019 Highland Ave S
Birmingham, AL 35205-3801
Phone (325) 328-2020

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S- D62ALMDOptometrist
S-D62-TA-A48ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince May 26, 2020 Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince May 26, 2020 Accepting new patients

Locations

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

9709 Parkway E
Ste Ab
Birmingham, AL 35215
Phone (205) 836-2020

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1366899478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "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": "9709 PARKWAY E STE A&B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352157853",
            "telephone_number": "205-836-2020",
            "fax_number": "205-836-1340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 HIGHWAY 280",
            "address_2": "STE 116",
            "address_purpose": "LOCATION",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428127",
            "country_code": "US",
            "telephone_number": "205-919-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Hallman Hl E Ste 81",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "35209",
            "country_code": "US",
            "telephone_number": "205-871-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S- D62",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D62-TA-A48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "SKISLAK",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.