Active NPI
Kris Janik Roy, O.D.
- Optometrist
- Wake Forest, NC
National Provider Identifier
1023321767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1649
- Practice address
- 2114 S Main St
Wake Forest, NC 27587-8817 - Phone
- (919) 556-1530
- NPI assigned
- Jul 23, 2010
- Last updated
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | NC1649 | NC | Primary |
Addresses
Primary practice location
2114 S Main St
Wake Forest, NC 27587-8817
Mailing address
12441 Bayleaf Church Rd
Raleigh, NC 27614-9168
Phone (919) 556-1530
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2114 S Main St
Wake Forest, NC 27587-8817
Phone (919) 556-1530
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1649 | NC | MD | Optometrist |
| 1649 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Eye Care, O.D., PLLC | Optometrist | Current | Accepting new patients |
| Clark Optometric Center PA | Optometrist | Past | Accepting new patients |
| Triangle Vision Care, O.D., P.a. | Optometrist | Past | Accepting new patients |
| Contact Lens Institute, Optometry, PA | Optometrist | Past | Accepting new patients |
| Triangle Eye Care, OD, PA | Optometrist | Past | Accepting new patients |
Locations
2114 S Main St
Wake Forest, NC 27587
Phone (919) 556-1530
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Wake Forest, NC
- NPI 1760886279
-
- Optometrist
- Raleigh, NC
- NPI 1851480347
-
- Optometrist
- Raleigh, NC
- NPI 1861692089
-
- Optometrist
- Wake Forest, NC
- NPI 1679771794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1023321767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12441 BAYLEAF CHURCH RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149168",
"telephone_number": "919-556-1530",
"fax_number": "919-556-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 S MAIN ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878817",
"telephone_number": "919-556-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "KRIS",
"middle_name": "JANIK",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC1649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.