Individual provider Active NPI

Brian P Ingle, O.D.

  • Optometrist
  • Florence, AL
National Provider Identifier
1659453587
Registry record updated Dec 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-586-TA-222 Issued in AL
Practice address
213 Cox Creek Pkwy
Florence, AL 35630-1572
Phone
(256) 760-8072
Fax
(256) 718-8499
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2010

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-586-TA-222 AL Primary

Addresses

Primary practice location

213 Cox Creek Pkwy
Florence, AL 35630-1572

Mailing address

213 Cox Creek Pkwy
Florence, AL 35630-1572
Phone (256) 760-8072

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
I20080825000516 AL Practitioner - Optometry 7517032691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 Cox Creek Pkwy
Florence, AL 35630-1572
Phone (256) 760-8072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian P Ingle Optometry, LLC Optometrist CurrentSince Feb 1, 1999 Accepting new patients

Locations

213 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 760-8072

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293148800000",
    "number": "1659453587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301572",
            "telephone_number": "256-760-8072",
            "fax_number": "256-718-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301572",
            "telephone_number": "256-760-8072",
            "fax_number": "256-718-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-586-TA-222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.