| Dr Brian W Mahalak, OD | |
|
461 Cotton Gin Rd, Montgomery, AL 36117-3558 | |
| (334) 323-3610 | |
| (334) 323-3629 |
| Full Name | Dr Brian W Mahalak |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 461 Cotton Gin Rd, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710148028 | NPI | - | NPPES |
| 515-99302 | Other | AL | BC |
| 1619923745 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T-194-TA-783 (Alabama) | Secondary |
| 152W00000X | Optometrist | S-B98-TA-783 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mei Operations, Pllc | 2860436318 | 17 |
| Provider Name | Mei Operations, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316008774 PECOS PAC ID: 2860436318 Enrollment ID: O20050615000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian W Mahalak, OD 250 State Farm Pkwy, Birmingham, AL 35209-7181 Ph: (205) 943-4600 | Dr Brian W Mahalak, OD 461 Cotton Gin Rd, Montgomery, AL 36117-3558 Ph: (334) 323-3610 |
Dean Edward Schultz Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Montgomery, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Dr. Justin E Sandholm, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 42d Medical Group, 300 South Twining Street, Bldg 760, Montgomery, AL 36112 Phone: 334-953-5200 | |
Dr. Camtu H. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6495 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-272-0124 | |
Dr. Stephen J. Bordlee, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-270-4670 | |
Montgomery Optometric Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Doris Ann Appleby, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery Optometric Clinic, Pa, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Roy Charles Goodman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 Eastdale Mall, Montgomery, AL 36117 Phone: 334-272-4722 Fax: 334-272-5096 |