Individual provider Active NPI

Megan S Kentros, O.D.

  • Optometrist
  • Pelham, AL
National Provider Identifier
1720439946
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D56 Issued in AL
Practice address
2617 Pelham Pkwy
Pelham, AL 35124-1322
Phone
(205) 664-1575
Fax
(205) 664-1578
NPI assigned
Jun 29, 2016
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 S-D56 AL Primary

Addresses

Primary practice location

2617 Pelham Pkwy
Pelham, AL 35124-1322

Mailing address

2617 Pelham Pkwy
Pelham, AL 35124-1322
Phone (205) 664-1575

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
I20161011001343 AL Practitioner - Optometry 8325336100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Eye Partners, LLCGroup PAC ID 5597099788, 5 clinicians

Practice addresses (Care Compare)

252 Inverness Ctr Dr
Birmingham, AL 35242-4834

258 Inverness Ctr Dr
Birmingham, AL 35242-4834
Phone (205) 991-0020

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-D56ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Jan 15, 2019 Accepting new patients
Alabama Eye Partners, LLC Optometrist CurrentSince May 24, 2021 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Jan 15, 2019 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients

Locations

258 Inverness Center Dr
Birmingham, AL 35242
Phone (205) 991-0020

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

195 Highway 304
Calera, AL 35040
Phone (205) 668-7920

1001 Brocks Gap Pkwy
Ste 119
Hoover, AL 35244
Phone (205) 624-5524

2617 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-1575

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1720439946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575",
            "fax_number": "205-664-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241322",
            "telephone_number": "205-664-1575",
            "fax_number": "205-664-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTROS",
        "first_name": "MEGAN",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.