Brookwood Ophthalmology Imaging and Ancillary Services

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BROOKWOOD OPHTHALMOLOGY IMAGING AND ANCILLARY SERVICES

Practice address

1 Chase Corporate Dr Ste 439
Hoover, AL 35244-1026

Phone

(205) 313-6300

Fax

(253) 465-4859

NPI assigned

Jun 18, 2007

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janie Norfleet White

Title

President

Phone

(205) 383-9498

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• BROOKWOOD OPHTHALMOLOGY, INC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• E. M. Brendan Wyatt

  • Ophthalmology Physician
  • Selma, AL
  • NPI 1538173646
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1386849669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 439",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441026",
            "telephone_number": "205-313-6300",
            "fax_number": "253-645-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 439",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441026",
            "telephone_number": "205-313-6300",
            "fax_number": "253-465-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD OPHTHALMOLOGY IMAGING AND ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "NORFLEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-383-9498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL BROOKWOOD",
            "identifier": "51533202",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD HUMANA",
            "identifier": "213985282",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARION",
            "identifier": "51533857",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "A96597",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936633",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00301433",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051533202",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4648847",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKWOOD OPHTHALMOLOGY, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BROOKWOOD OPHTHALMOLOGY, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Callan Brown, DPT
• Carlie Brown

• Ophthalmology Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.