MEDICARE: MYEYEDR OPTOMETRY OF ALABAMA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1417422528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR OPTOMETRY OF ALABAMA LLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	700 7TH ST S
Second Line	:
City	:	CLANTON
State	:	AL
Zip	:	35045-3778
Country	:	US
Telephone Number	:	205-280-0034
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE HEALEY
Credential	:
Telephone Number	:	703-847-8899

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	05/23/2022

Similar Medicare Providers

1619588068 — DR. KAYDEE WILLCOX BUTLER OD
Practice Location Address:

700 7TH ST S
CLANTON, AL
35045-3778

Practice Phone: 205-280-0034
Practice Fax: 205-664-1578

1568564169 — CECIL D PAVEY
Practice Location Address:

700 7TH ST S
CLANTON, AL
35045-3778

Practice Phone: 205-280-0064
Practice Fax: 205-280-0030

1154720571 — MATTHEW J. MCCAIN DMD, LLC
Practice Location Address:

700 7TH ST S , SUITE 300
CLANTON, AL
35045-3778

Practice Phone: 205-960-0640
Practice Fax:

1760308068 — COVENANT COMPANY CHILTON
Practice Location Address:

303 1ST ST N
CLANTON, AL
35045-3418

Practice Phone: 205-280-3333
Practice Fax: 205-280-4135

1245552231 — DR. KATHLEEN HALL KINNE DPT
Practice Location Address:

2030 LAY DAM RD
CLANTON, AL
35045-8344

Practice Phone: 205-755-5700
Practice Fax: 205-755-4966

1902732498 — SHAYLA HAMILTON JOHNSON
Practice Location Address:

674 OLLIE AVE
CLANTON, AL
35045-2246

Practice Phone: 205-280-1100
Practice Fax: 205-280-1575

Directions to “MYEYEDR OPTOMETRY OF ALABAMA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.