Dr Aubrey Alan Odom, OD is a medicare enrolled "Optometrist" provider in Evergreen, Alabama. His current practice location is
109 S Main St, Evergreen, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 578-2922.
Dr Aubrey Alan Odom is licensed to practice in Alabama (license number S-860-TA-413) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295803195.
Healthcare Provider's Profile
Full Name | Dr Aubrey Alan Odom |
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Gender | Male |
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Speciality | Optometrist |
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Location | 109 S Main St, Evergreen, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295803195
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638107543
- Enrollment ID: I20050805000787
Medical Identifiers
Medical identifiers for Dr Aubrey Alan Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295803195 | NPI | - | NPPES |
000034940 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | S-860-TA-413 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Aubrey Alan Odom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Aubrey Alan Odom, OD 109 S Main St, Evergreen, AL 36401-3320 Ph: (251) 578-2922 | Dr Aubrey Alan Odom, OD 109 S Main St, Evergreen, AL 36401-3320 Ph: (251) 578-2922 |
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