Individual provider Active NPI

Michael M Kwarcinski, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1710975917
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S888TA444 Issued in AL
Practice address
5510 Highway 280
Suite 213
Birmingham, AL 35242-6582
Phone
(205) 981-0103
Fax
(205) 981-6428
NPI assigned
Oct 11, 2005
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S888TA444 AL Primary

Addresses

Primary practice location

5510 Highway 280
Suite 213
Birmingham, AL 35242-6582

Mailing address

5510 Highway 280
Suite 213
Birmingham, AL 35242-6582
Phone (205) 981-0103

Other identifiers 2

IdentifierTypeStateIssuer
000020895MedicaidAL
000020894MedicaidAL

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
I20101006000019 AL Practitioner - Optometry 3274725528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

230 Doug Baker Blvd
Suite 100
Birmingham, AL 35242-2684
Phone (205) 981-0103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

5510 Highway 280
Ste 213
Birmingham, AL 35242
Phone (205) 824-7184

230 Doug Baker Blvd
Ste 100
Hoover, AL 35242
Phone (205) 981-0103

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

3165 Green Valley Rd
Vestavia, AL 35243
Phone (205) 967-2103

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: mkwarcinski@direct.eyecare-partners.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1710975917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 HIGHWAY 280",
            "address_2": "SUITE 213",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426582",
            "telephone_number": "205-981-0103",
            "fax_number": "205-981-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 HIGHWAY 280",
            "address_2": "SUITE 213",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426582",
            "telephone_number": "205-981-0103",
            "fax_number": "205-981-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARCINSKI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S888TA444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020895",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020894",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.