DR. KENYATTA D. BRANTLEY (NPI# 1205907565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205907565 |
| Entity Type | Individual |
| Full Name | DR. KENYATTA D. BRANTLEY |
| Credential | O.D. |
| Practice Address |
700 Boulevard South Sw Suite 104 Huntsville AL 35802-2115 |
| Practice Telephone | 2569371213 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
R-214 | AL | Eye and Vision Services Providers |
| Street Address |
700 BOULEVARD SOUTH SW SUITE 104 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841347267 | Advent Eye Care Center, LLC | Optometrist | 700 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2115 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841347267 | Advent Eye Care Center, LLC | Optometrist | 700 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2115 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487160768 | Vision Plus Eyecare Dekalb LLC | Optometrist | 94 Church Avenue N, Rainsville, AL 35986 | 2017-12-21 |
| 1275999476 | Andrea B. Hudson, Od, LLC | Optometrist | 2937 7th Ave S Ste 104, Birmingham, AL 35233-2927 | 2016-01-05 |
| 1881915189 | Total Eye Care | Optometrist | 5619 Grove Blvd Ste 109, Birmingham, AL 35226-4604 | 2010-06-21 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1174783542 | Steele Optometric Associates | Optometrist | 300 Foothills Place, Chelsea, AL 35043-8208 | 2008-06-10 |
| 1790862019 | Michael E Tyner | Optometrist | 704 Brookwood Vlg, Birmingham, AL 35209-4549 | 2006-11-01 |
| 1861574626 | Kevin J Gross | Optometrist | 209 S Market St, Suite 104, Scottsboro, AL 35768-1851 | 2006-10-20 |
| 1730148198 | Clifford Lee Stratton | Optometrist | 8089 Highway 72 W, Suite A, Madison, AL 35758-9530 | 2006-03-22 |
| 1982686572 | Susan Horton Eiland | Optometrist | 2700 10th Avenue South, Suite 404, Birmingham, AL 35205-1250 | 2005-11-18 |
| 1194715318 | Armand L Gagnon Jr. | Optometrist | 1919 28th Ave S, Ste 117, Homewood, AL 35209-2684 | 2005-10-27 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.