Brian W. Mahalak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-B98-TA-783 Issued in AL

Practice address

461 Cotton Gin Rd
Montgomery, AL 36117-3558

Phone

(334) 323-3610

Fax

(334) 323-3629

NPI assigned

Jun 19, 2008

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mei Operations, PLLCGroup PAC ID 2860436318, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mei Operations, PLLC

  dba Michigan Eye Institute

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1316008774
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1710148028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COTTON GIN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173558",
            "telephone_number": "334-323-3610",
            "fax_number": "334-323-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALAK",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "T-194-TA-783",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B98-TA-783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "515-99302",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619923745",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annamarie Maddox
• James Stephen Maddox, MD
• Lindsey T Maddox, CRNP
• Salome Maganga, CRNP
• Magnolia Psychological Partners, LLC
• Joshua Nathan Maher, DO
• Darshilkumar Maheta, MD
• Alonzo J Mahurin, PHD., D.O.
• Rodney J Maiden
• Ommaya Maimoona

• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.

Verify at the official NPI Registry.