Active NPI
Lisa A Kennedy, O.D.
- Optometrist
- Birmingham, AL
National Provider Identifier
1407822265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-987-TA-572
- Practice address
- 4515 Southlake Pkwy
Birmingham, AL 35244-3317 - Phone
- (205) 987-2020
- Fax
- (205) 988-0588
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-987-TA-572 | AL | Primary |
Addresses
Primary practice location
4515 Southlake Pkwy
Birmingham, AL 35244-3317
Mailing address
PO Box 43366
Birmingham, AL 35243-0366
Phone (205) 995-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S-987-TA-572 | Other | AL | AL BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-987-TA-572 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schaeffer Eye Center, Inc. | Optometrist | Past | Accepting new patients |
| Schaeffer Eye Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Birmingham, AL
- NPI 1568612430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407822265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43366",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352430366",
"telephone_number": "205-995-2020",
"fax_number": "205-991-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 SOUTHLAKE PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352443317",
"telephone_number": "205-987-2020",
"fax_number": "205-988-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "LISA",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-987-TA-572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BOARD OF OPTOMETRY",
"identifier": "S-987-TA-572",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.