Active NPI
Barbara Ann Desmone, O.D.
- Optometrist
- Havelock, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1422
- Practice address
- 306 E Main St
Suite a
Havelock, NC 28532-2214 - Phone
- (252) 447-2768
- Fax
- (888) 774-3877
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1422 | NC | Primary |
Addresses
Primary practice location
306 E Main St
Suite a
Havelock, NC 28532-2214
Mailing address
306 E Main St
Suite a
Havelock, NC 28532-2214
Phone (252) 447-2768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909588 | Medicaid | NC | |
| 09588 | Other | NC | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080128000751 | NC | Practitioner - Optometry | 0941382006 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clark Optometric Center PA
Practice addresses (Care Compare)
2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 544-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1422 | NC | MD | Marriage & Family Therapist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Optometric Center PA | Optometrist | Current | Accepting new patients |
Locations
2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020
306A E Main St
Havelock, NC 28532
Phone (252) 447-2768
306 E Main St
#A
Havelock, NC 28532
Phone (252) 447-2768
1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
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": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405814400000",
"number": "1023181567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 E MAIN ST",
"address_2": "SUITE A",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322214",
"telephone_number": "252-447-2768",
"fax_number": "888-774-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 E MAIN ST",
"address_2": "SUITE A",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322214",
"telephone_number": "252-447-2768",
"fax_number": "888-774-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMONE",
"first_name": "BARBARA",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2014-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909588",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09588",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.