DR. BRIAN W. MAHALAK (NPI# 1710148028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710148028 |
| Entity Type | Individual |
| Full Name | DR. BRIAN W. MAHALAK |
| Credential | O.D. |
| Practice Address |
461 Cotton Gin Rd Montgomery AL 36117-3558 |
| Mailing Address |
250 State Farm Pkwy Birmingham AL 35209-7181 |
| Practice Telephone | 3343233610 |
| Practice Fax Number | 3343233629 |
| Mailing Telephone | 2059434600 |
| Mailing Fax Number | 2059434688 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-B98-TA-783 | AL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | T-194-TA-783 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1619923745 | 05 | |
| AL | BC | 515-99302 | 01 |
| Street Address |
461 COTTON GIN RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205003878 | Norman Woodlief Md PC | Ophthalmology | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2008-05-13 |
| 1770018491 | Southeastern Family Foot Care, LLC | Podiatrist | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2017-05-01 |
| 1033457106 | Southeastern Family Foot Care, LLC | Podiatrist | 461 Cotton Gin Rd, Montgomery, AL 36117 | 2013-01-24 |
| 1013179621 | Travis Jason Zimbelman | Podiatrist | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
| 1780945568 | Kendra S Mills | Optometrist | 909 Ann St, Montgomery, AL 36107-2001 | 2012-06-07 |
| 1750612149 | Holman Optometrics LLC | Optometrist | 8925 Cotswold Ct, Montgomery, AL 36117-8455 | 2010-01-25 |
| 1962735191 | Michael Brandon Mull | Optometrist | 2080 Berryhill Road, Montgomery, AL 36117 | 2009-09-04 |
| 1881855229 | D & K Eyewear | Optometrist | 2567 Bell Road, Montgomery, AL 36117-4369 | 2008-06-18 |
| 1770755316 | Drs. Nguyen Prof. Corp. | Optometrist | 6520 Atlanta Hwy, Montgomery, AL 36117-4245 | 2008-03-24 |
| 1912187402 | Innovative Vision LLC | Optometrist | 9797 Montgomery Rd, Montgomery, OH 45242-7247 | 2007-11-13 |
| 1841487238 | Sarah Susan Helgeson | Optometrist | 2294 State Route 208 # 7, Montgomery, NY 12549-2217 | 2007-09-28 |
| 1508078262 | Rodney Dion Taylor | Optometrist | 1222 Madison Ave, Montgomery, AL 36107-1830 | 2007-05-04 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR. BRIAN W. MAHALAK.
| 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.