Individual provider Active NPI

Samantha E. Myers, O.D

  • Optometrist
  • Washington, NC
National Provider Identifier
1023504974
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2763 Issued in NC
Practice address
1212 Brown St
Washington, NC 27889-4671
Phone
(252) 501-0403
Fax
(252) 501-0406
NPI assigned
Jul 3, 2018
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2160DT KY
Optometrist 152W00000X 2763 NC Primary
Optometrist 152W00000X OEG003407 PA

Addresses

Primary practice location

1212 Brown St
Washington, NC 27889-4671

Mailing address

1212 Brown St
Washington, NC 27889-4671
Phone (252) 501-0403

Other practice location 1

116 Regency Blvd
Greenville, NC 27834-4644
Phone (252) 754-2020

Other practice location 2

7630 Germantown Ave Ste 4
Philadelphia, PA 19118-3529
Phone (215) 276-6000

Other practice location 3

3300 Henry Ave Ste 104
Philadelphia, PA 19129-1121
Phone (215) 276-6000

Other practice location 4

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.myers.p1@direct.pmc.nextgenshare.com Direct

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
I20240514002381 NC Practitioner - Optometry 6103173539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weitzel and Associates PAGroup PAC ID 8729989553, 4 clinicians

Practice addresses (Care Compare)

116 Regency Blvd
Greenville, NC 27834-4644
Phone (252) 754-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2763NCMDClinical Psychologist
2160DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weitzel & Associates PA Optometrist CurrentSince May 1, 2024 Accepting new patients
Pennsylvania College of Optometry Optometrist PastSince Jul 2, 2018 Accepting new patients
Pikeville Medical Center Inc PastSince Aug 1, 2019 Accepting new patients

Locations

621 N Berkeley Blvd
Ste D
Goldsboro, NC 27534
Phone (919) 778-2023

116 Regency Blvd
Greenville, NC 27834
Phone (252) 754-2020

1212 Brown St
Washington, NC 27889
Phone (252) 501-0403

Interoperability endpoints

  • Direct secure messaging: samantha.myers.p1@direct.pmc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1023504974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-501-0403",
            "fax_number": "252-501-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-501-0403",
            "fax_number": "252-501-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Regency Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344644",
            "country_code": "US",
            "telephone_number": "252-754-2020",
            "fax_number": "252-493-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 Germantown Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183529",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Henry Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291121",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SAMANTHA",
        "middle_name": "E.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2160DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2763",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.myers.p1@direct.pmc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.