Active NPI
Myeyedr Optometry of Alabama LLC
- Optometrist
- Mountain BRK, AL
National Provider Identifier
1497265276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF ALABAMA LLC
- Practice address
- 2000 Cahaba Rd Ste 100
Mountain BRK, AL 35223-1170 - Phone
- (205) 870-3937
- NPI assigned
- Oct 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2000 Cahaba Rd Ste 100
Mountain BRK, AL 35223-1170
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 2
- MyEyeDr.
- Schaeffer Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180118002553 | AL | Part B Supplier - Clinic/Group Practice | 0840559878 |
Receives reassigned benefits from 73 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hoover, AL; Tuscaloosa, AL; Trussville, AL; Pelham, AL; Mountain BRK, AL; Madison, AL; Irondale, AL; Huntsville, AL… |
Other NPIs on the same Medicare enrollment 24
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1497265276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CAHABA RD STE 100",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352231170",
"telephone_number": "205-870-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF ALABAMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "HEALEY",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Schaeffer Eye Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Schaeffer Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.