Individual provider Active NPI

Mary Elizabeth Chenault, O.D.

  • Optometrist
  • Madison, AL
National Provider Identifier
1851723258
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D01-TA-949 Issued in AL
Practice address
102 Intercom Dr
Madison, AL 35758-2638
Phone
(256) 772-2929
NPI assigned
Aug 7, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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-D01-TA-949 AL Primary

Addresses

Primary practice location

102 Intercom Dr
Madison, AL 35758-2638

Mailing address

741 Plummer Rd
Apartment 401
Huntsville, AL 35806-3815
Phone (256) 772-2929

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
I20131031000430 AL Practitioner - Optometry 3870728769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bailey Cove Eye Care, P.C.Group PAC ID 7315151529, 2 clinicians

Practice addresses (Care Compare)

1411 Weatherly Plaza
Huntsville, AL 35803-2617

1411 Weatherly PLZ SE
Huntsville, AL 35803-2617
Phone (256) 880-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Cove Eye Care, P.C. Optometrist CurrentSince Oct 31, 2013 Accepting new patients

Locations

1411 Weatherly Plz SE
Huntsville, AL 35803
Phone (256) 880-3200

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, 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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1851723258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PLUMMER RD",
            "address_2": "APARTMENT 401",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063815",
            "telephone_number": "256-772-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 INTERCOM DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582638",
            "telephone_number": "256-772-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENAULT",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D01-TA-949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.