Individual provider Active NPI

Joshua Scott Sikes, OD

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1003149113
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2174 Issued in NC
Practice address
235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone
(919) 968-4774
Fax
(919) 492-5291
NPI assigned
Sep 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2174 NC Primary
Optometrist 152W00000X 703 HI

Addresses

Primary practice location

235 S Elliott Rd
Chapel Hill, NC 27514-5831

Mailing address

235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone (919) 968-4774

Other identifiers 1

IdentifierTypeStateIssuer
5914407MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000479 NC Practitioner - Optometry 9739220377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Chapel Hill Eyecare OD PLLCGroup PAC ID 4880954064, 2 clinicians

Practice addresses (Care Compare)

101 Cosgrove Ave
Suite 170
Chapel Hill, NC 27514-5277
Phone (919) 968-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2174NCMDOptometrist
703HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Eyecare, OD PLLC CurrentSince Dec 30, 2017 Accepting new patients

Locations

235 S Elliott Rd
Chapel Hill, NC 27514
Phone (919) 968-4774

101 Cosgrove Ave
Ste 170
Chapel Hill, NC 27514
Phone (919) 968-4774

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1003149113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-492-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-492-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2174",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.