Individual provider Active NPI

Darren Winston Hilburn, O.D.

  • Optometrist
  • Apex, NC
National Provider Identifier
1043211709
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1862 Issued in NC
Practice address
1049 Beaver Creek Commons Dr
Apex, NC 27502-3918
Phone
(919) 367-7889
Fax
(919) 249-4079
NPI assigned
Aug 3, 2005
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1862 NC Primary

Addresses

Primary practice location

1049 Beaver Creek Commons Dr
Apex, NC 27502-3918

Mailing address

1049 Beaver Creek Commons Dr
Apex, NC 27502-3918
Phone (919) 367-7889

Other identifiers 7

IdentifierTypeStateIssuer
89093M9MedicaidNC
2200448OtherNCUNITED HEALTHCARE
25778OtherNCOPTICARE
093M9OtherNCBCBS
2102833OtherNCOPTIMUM CHOICE OF THE CAR
803187OtherNCCOMMUNITY EYECARE
2102833OtherNCMAMSI

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
I20090423000696 NC Practitioner - Optometry 6608924089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills and Salter, OD, PAGroup PAC ID 8820171788, 5 clinicians

Practice addresses (Care Compare)

100 Butternut LN
Clayton, NC 27520-5868
Phone (919) 550-2464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1862NCMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills & Salter, OD, PA Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Smithfield Family Eye Care OD PA Optometrist Past Accepting new patients

Locations

100 Butternut Ln
Clayton, NC 27520
Phone (919) 359-2656

Organizations & group practices 2

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1043211709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BEAVER CREEK COMMONS DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023918",
            "telephone_number": "919-367-7889",
            "fax_number": "919-249-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BEAVER CREEK COMMONS DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023918",
            "telephone_number": "919-367-7889",
            "fax_number": "919-249-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBURN",
        "first_name": "DARREN",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093M9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200448",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "25778",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093M9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE OF THE CAR",
            "identifier": "2102833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYECARE",
            "identifier": "803187",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2102833",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.