Individual provider Active NPI

Mary Braden Hendon Mallory

  • Optometrist
  • Vestavia Hills, AL
National Provider Identifier
1386483394
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F49-TA-D48 Issued in AL
Practice address
1009 Montgomery Hwy
Vestavia Hills, AL 35216-2831
Phone
(205) 397-9400
NPI assigned
May 20, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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-F49-TA-D48 AL Primary

Addresses

Primary practice location

1009 Montgomery Hwy
Vestavia Hills, AL 35216-2831

Mailing address

1009 Montgomery Hwy
Vestavia Hills, AL 35216-2831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250417003347 SC Practitioner - Optometry 1052836459 Reassigns benefits to 1 organization
I20260306002336 AL Practitioner - Optometry 1052836459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Feagin, Gee and Dahl, PCGroup PAC ID 7618915950, 4 clinicians
Jervey Eye Group PAGroup PAC ID 2860397148, 20 clinicians

Practice addresses (Care Compare)

1009 Montgomery Hwy
Suite 200
Vestavia Hills, AL 35216-2860
Phone (205) 397-9400

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F49-TA-D48ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Feagin, Gee and Dahl, P.C. CurrentSince Jan 20, 2026 Accepting new patients
Columbia Vamc CurrentSince May 26, 2024 Accepting new patients
Jervey Eye Group, PA Optometrist Current Accepting new patients
Jervey Eye Group, PA Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Jervey Eye Group, PA Optometrist CurrentSince Apr 1, 2025 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 397-9400

1009 Montgomery Hwy
Ste 200
Vestavia Hills, AL 35216
Phone (205) 397-9400

41 Park Creek Dr
Greenville, SC 29605
Phone (864) 299-1600

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

Organizations & group practices 5

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1386483394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162831",
            "telephone_number": "205-397-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "MARY BRADEN",
        "middle_name": "HENDON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F49-TA-D48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.