Active NPI
Marty Chadwick Brewer, O.D.
- Corneal and Contact Management Optometrist
- Florence, AL
National Provider Identifier
1508973264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- S-A64-TA-625
- Practice address
- 711 Cox Creek Pkwy
Florence, AL 35630-1001 - Phone
- (256) 766-3139
- Fax
- (256) 760-1849
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | S-A64-TA-625 | AL | Primary |
Addresses
Primary practice location
711 Cox Creek Pkwy
Florence, AL 35630-1001
Mailing address
711 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 766-3139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051554085 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 N Main
Florence, AL 35630
Phone (256) 383-2121
711 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 766-3139
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-A64-TA-625 | AL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Eye Center, Inc. | Current | Accepting new patients | |
| Florence Eye Center, Inc. | Current | Accepting new patients | |
| Florence Eye Center, Inc | Past | Accepting new patients | |
| Chad Brewer, OD PC | Past | Accepting new patients |
Locations
711 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 383-2121
Organizations & group practices 4
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.
-
- Optometrist
- Florence, AL
- NPI 1457414104
-
- Optometrist
- Florence, AL
- NPI 1033267398
-
- Optometrist
- Madison, AL
- NPI 1285002352
-
- Optometrist
- Tuscumbia, AL
- NPI 1093999831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1508973264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 COX CREEK PKWY",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301001",
"telephone_number": "256-766-3139",
"fax_number": "256-760-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 COX CREEK PKWY",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301001",
"telephone_number": "256-766-3139",
"fax_number": "256-760-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "MARTY",
"middle_name": "CHADWICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AL",
"license": "S-A64-TA-625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051554085",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.