Individual provider Active NPI

Brenna Shea Reilly, OD

  • Optometrist
  • Auburn, AL
National Provider Identifier
1649068214
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F56 Issued in AL
Practice address
2415 Moores Mill Rd
Ste 220
Auburn, AL 36830
Phone
(334) 521-7944
Fax
(334) 521-7277
NPI assigned
Apr 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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-F56 AL Primary

Addresses

Primary practice location

2415 Moores Mill Rd
Ste 220
Auburn, AL 36830

Mailing address

2415 Moores Mill Rd
Ste 220
Auburn, AL 36830
Phone (334) 521-7944

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
I20251020000712 AL Practitioner - Optometry 3274021563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore'S Mill Eyecare, PCGroup PAC ID 9234449208, 2 clinicians

Practice addresses (Care Compare)

2415 Moores Mill Rd
Unit 220
Auburn, AL 36830-8482
Phone (334) 521-7944

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-F56ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moores Mill Eyecare PC Optometrist CurrentSince Jul 10, 2025 Accepting new patients

Locations

2415 Moores Mill Rd
Unit 220
Auburn, AL 36830
Phone (334) 521-7944

Organizations & group practices 1

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": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1649068214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "STE 220",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-521-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "STE 220",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-521-7944",
            "fax_number": "334-521-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BRENNA",
        "middle_name": "SHEA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.