Aleen Sarah Kaltakdjian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SE32TAB57 Issued in AL

Practice address

105 W I65 Service Rd N
Mobile, AL 36608-1202

Phone

(251) 344-2020

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Eyecare Associates, Inc.

  • Eyewear Supplier
  • Birmingham, AL
  • NPI 1710012877

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Mobile, AL
  • NPI 1487848701
  NPD
• Eyecare Associates, Inc.

  dba Eyecare Associates -Montgomery 4320

  • Optometrist
  • Montgomery, AL
  • NPI 1871475038
  NPD
• Eyecare Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jasper, AL
  • NPI 1255490041
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1396392437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W I65 SERVICE RD N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081202",
            "telephone_number": "251-344-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Nonconnah Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381322111",
            "country_code": "US",
            "telephone_number": "901-523-8990 x1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALTAKDJIAN",
        "first_name": "ALEEN",
        "middle_name": "SARAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SE32TAB57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllus J Justice, R.D.
• Wiley Hugh Justice, M.D.
• Rachel Kabazzi, M.D.
• Roy Edward Kadel, DC
• Stephen Anthony Kahalley, MD
• Olivia Kalu, M.D.
• Neema Kamau, DO
• Prathima Ramaswami Kannan, RDN
• Shantha R Kannan, MD
• Lane S Kannegieter, MD

• Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.