Individual provider Active NPI

Kennedy Rhyne Walker, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1851549976
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B78-TA-796 Issued in AL
Practice address
4226 Mountaindale Road
Birmingham, AL 35213
Phone
(205) 956-5280
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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-B78-TA-796 AL Primary

Addresses

Primary practice location

4226 Mountaindale Road
Birmingham, AL 35213

Mailing address

4226 Mountaindale Road
Birmingham, AL 35213
Phone (205) 956-5280

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
I20081103000462 AL Practitioner - Optometry 0042379240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day Optometry Clinic PCGroup PAC ID 7416974761, 6 clinicians

Practice addresses (Care Compare)

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone 2056315681414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Day Optometry Clinic PC Optometrist CurrentSince Feb 1, 2012 Accepting new patients
Vestavia Eye Care, P.C. Optometrist PastSince Apr 9, 2021 Accepting new patients

Locations

137 W Shugart Ridge Rd
Gardendale, AL 35071
Phone (205) 631-5681

Organizations & group practices 2

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1851549976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 MOUNTAINDALE ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-956-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 MOUNTAINDALE ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-956-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KENNEDY",
        "middle_name": "RHYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B78-TA-796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.