Individual provider Active NPI

Bonnie-Kim Schwertz, O.D.

  • Optometrist
  • Homewood, AL
National Provider Identifier
1891147773
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD51TAA64 Issued in AL
Practice address
3490 Independence Dr Ste 110
Homewood, AL 35209-5604
Phone
(205) 490-2322
Fax
(205) 510-9469
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD51TAA64 AL Primary

Addresses

Primary practice location

3490 Independence Dr Ste 110
Homewood, AL 35209-5604

Mailing address

3490 Independence Dr Ste 110
Homewood, AL 35209-5604
Phone (205) 490-2322

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
I20171018002297 AL Practitioner - Optometry 3375819352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dry Eye Center of Alabama, LLCGroup PAC ID 0840604302, 3 clinicians

Practice addresses (Care Compare)

3975 Asbury Rd
Vestavia, AL 35243-5527
Phone 20549023221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD51TAA64ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Eye Center of Alabama, LLC Optometrist CurrentSince Jan 7, 2024 Accepting new patients

Locations

3490 Independence Dr
Ste 110
Homewood, AL 35209
Phone (205) 490-2322

Interoperability endpoints

  • Direct secure messaging: bkhang@direct.eyecare-partners.com
  • Direct secure messaging: bonnie-kim.schwertz@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1891147773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 INDEPENDENCE DR STE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095604",
            "telephone_number": "205-490-2322",
            "fax_number": "205-510-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 INDEPENDENCE DR STE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095604",
            "telephone_number": "205-490-2322",
            "fax_number": "205-510-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERTZ",
        "first_name": "BONNIE-KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SD51TAA64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.