Active NPI
Kevin Wayne Neal, O.D.
- Optometrist
- Cullman, AL
National Provider Identifier
1649263773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SA02-TA-581
- Practice address
- 626 Olive St SW
Cullman, AL 35055-5594 - Phone
- (256) 775-0269
- Fax
- (256) 775-6871
- NPI assigned
- Aug 24, 2005
- Last updated
- Jul 15, 2020
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | SA02-TA-581 | AL | Primary |
Addresses
Primary practice location
626 Olive St SW
Cullman, AL 35055-5594
Mailing address
100 Sage Oak LN
Madison, AL 35758-4016
Phone (256) 520-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51504769 | Other | AL | BCBSAL |
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
- University Alabama Birmingham - School of Optometry, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
626 Olive St SW
Cullman, AL 35055-5594
Phone (256) 775-0269
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA02-TA-581 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin W. Neal, O.D., P.C. | Optometrist | Current | Accepting new patients |
Locations
626 Olive St SW
Cullman, AL 35055
Phone (256) 739-3390
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Cullman, AL
- NPI 1013142587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1649263773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SAGE OAK LN",
"city": "MADISON",
"state": "AL",
"postal_code": "357584016",
"telephone_number": "256-520-7550",
"fax_number": "256-775-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 OLIVE ST SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555594",
"telephone_number": "256-775-0269",
"fax_number": "256-775-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "KEVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "SA02-TA-581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL",
"identifier": "51504769",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
- National Healthcare of Cullman Inc (Woodland Medical Center Home Health)
- National Healthcare of Cullman, Inc. (Woodland Medical Center)
- National Healthcare of Cullman, Inc. (Woodland Medical Center)
- National Healthcare of Cullman, Inc. (Woodland Medical Center)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Tracy Lynn Neal, MD
- Kara Lynn Nero
- Joann R Nevels
- New Beacon Healthcare Group, LLC (New Beacon of Cullman)
- Allison Cox Newman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.