Individual provider Active NPI

Rebecca Gaudet-McKenzie, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1629687348
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E61-TA-B99 Issued in AL
Practice address
2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623
Phone
(205) 933-2340
Fax
(205) 233-2323
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E61 AL
Optometrist 152W00000X S-E61-TA-B99 AL Primary

Addresses

Primary practice location

2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623

Mailing address

2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623
Phone (205) 933-2340

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
I20201215000386 AL Practitioner - Optometry 3870905979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Ophthalmology PCGroup PAC ID 9537352299, 6 clinicians

Practice addresses (Care Compare)

2660 10TH Ave S
Suite 201
Birmingham, AL 35205-1623
Phone (205) 933-2340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E61ALMDOptometrist
S-E61-TA-B99ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Ophthalmology P.C. CurrentSince Dec 1, 2020 Accepting new patients
Invision Ophthalmology P.C. CurrentSince Dec 1, 2020 Accepting new patients

Locations

2660 10th Ave S
Ste 201
Birmingham, AL 35205
Phone (205) 933-2340

2100 Devereux Cir
Ste 100
Vestavia, AL 35243
Phone (205) 871-7767

2100 Devereux Cir
Ste 101
Vestavia, AL 35243
Phone (205) 871-7767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1629687348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051623",
            "telephone_number": "205-933-2340",
            "fax_number": "205-933-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051623",
            "telephone_number": "205-933-2340",
            "fax_number": "205-233-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET-MCKENZIE",
        "first_name": "REBECCA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E61",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E61-TA-B99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.