KENNETH CHARLES PAIR (OD) – Optometrist, NPI 1164519666

KENNETH CHARLES PAIR (OD) is a healthcare provider. based in Vestavia, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S639TA070 (AL). The NPI Number for KENNETH CHARLES PAIR (OD) is 1164519666

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH CHARLES PAIR (OD)
NPI
1164519666
Phone
(205) 879-2221
Address
2100 Devereux Cir Ste 100
Enumeration Date
6 October 2006
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2056551335
Graduation Year
1987 (39 years ago)
PAC ID
3971610205
Professional Enrollment ID
I20120213000844
Address ID
AL352353263BI3532XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for KENNETH CHARLES PAIR (OD)

  • 2100 Devereux Cir Ste 100

    Vestavia, AL 352432558

    Phone: (205) 879-2221

    Type: Location

  • 2615, McFarland Boulevard East, Fairway Drive, Tuscaloosa, Tuscaloosa County, Alabama, 35405, United States

    TUSCALOOSA, AL 354051803

    Phone: (205) 556-4180

    Fax: (205) 556-7082

    Type: Mailing

  • 2100 DEVEREUX CIR STE 100

    VESTAVIA, AL 352432558

    Phone: (205) 879-2221

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Alcon Vision LLC ($121).

Total Amount

$224

General + Research + Ownership

Payments

5

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120213000844IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4847$0
99213Established patient office or other outpatient visit, 20-29 minutes4028$0
92134Imaging of retina1919$0
92201Extended exam of the back part of the eye with retinal drawing1717$0
View full utilization report →

Insurance plans in this area (ZIP 35243)

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Reviews

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Frequently asked questions

What number should I use to identify KENNETH CHARLES PAIR (OD) for billing?
Administrative and clinical systems typically use NPI 1164519666 for KENNETH CHARLES PAIR (OD).
Is KENNETH CHARLES PAIR (OD)'s NPI status active today?
Active status means KENNETH CHARLES PAIR (OD)'s NPI record is not deactivated in the public file.
What type of care does KENNETH CHARLES PAIR (OD) provide?
KENNETH CHARLES PAIR (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to KENNETH CHARLES PAIR (OD)?
The directory associates KENNETH CHARLES PAIR (OD) with Vestavia, Alabama. Check all listed addresses for suites or satellite offices.
Can I export KENNETH CHARLES PAIR (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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