Individual provider Active NPI

Sheila W Kirk, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1396707196
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-778-TA-389 Issued in AL
Practice address
4500 Valleydale Rd Ste 700
Birmingham, AL 35242-4634
Phone
(205) 995-0700
Fax
(205) 991-9600
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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-778-TA-389 AL Primary

Addresses

Primary practice location

4500 Valleydale Rd Ste 700
Birmingham, AL 35242-4634

Mailing address

PO Box 207243
Dallas, TX 75320-7243
Phone (636) 200-4393

Other identifiers 4

IdentifierTypeStateIssuer
18180OtherAVESIS
5429OtherDAVIS VISION
06210OtherBCBS OF ALABAMA
S-778-TA-389OtherALBOARD OF OPTOMETRY LICENS

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
I20090717000375 AL Practitioner - Optometry 3577615194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. CurrentSince Mar 24, 2018 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Mar 24, 2018 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

4500 Valleydale Rd
Ste 700
Birmingham, AL 35242
Phone (205) 995-0700

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

Interoperability endpoints

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

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc. 52 clinicians

Practice addresses (Care Compare)

4500 Valleydale Rd
Suite 700
Birmingham, AL 35242-4634
Phone (205) 995-0700

7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1396707196",
    "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",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 VALLEYDALE RD STE 700",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424634",
            "telephone_number": "205-995-0700",
            "fax_number": "205-991-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "SHEILA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-778-TA-389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "18180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "5429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "06210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OPTOMETRY LICENS",
            "identifier": "S-778-TA-389",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.