Carlyle Dukes Haywood, Jr.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1566 Issued in NC

Legal business name

CARLYLE DUKES HAYWOOD, JR.

Practice address

326 Albemarle Rd
Troy, NC 27371-3206

Phone

(910) 576-7371

NPI assigned

Jan 31, 2007

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlyle HaywoodNPI 1144204579

Title

Owner

Phone

(910) 417-7138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Carlyle Dukes Haywood Jr

  • Optometrist
  • Rockingham, NC
  • NPI 1609914100

  2264480029

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carlyle Dukes Haywood Jr

  • Optometrist
  • Rockingham, NC
  • NPI 1609914100

  O20080528000108

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Montgomery Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carlyle Dukes Haywood Jr

  • Optometrist
  • Rockingham, NC
  • NPI 1609914100
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlyle Dukes Haywood Jr.

  • Optometrist
  • Troy, NC
  • NPI 1144204579
  NPD Authorized official
• Julianne Marie Grissom, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1942827043
  NPD
• Vanessa M Mills, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1912932112
  NPD
• Stephanie Corbin, OD

  • Optometrist
  • Chicago, IL
  • NPI 1124545603
  NPD
• Samuel E Cox, O.D.

  • Optometrist
  • Johnson City, TN
  • NPI 1972608974
  NPD
• Kevin James Ritter, O.D.

  • Optometrist
  • Hillsborough, NC
  • NPI 1801870118
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1043357643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713206",
            "telephone_number": "910-576-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE DUKES HAYWOOD, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "CARLYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-417-7138"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Lea Blackwell, LCSW
• Gina Buie Bourne, RN
• Kayren Shiver Brantley, R.PH.
• Janet Leone Britt, PA-C
• Melanie Camp, MSW, LCSWA
• Carolinas Medical Center at Home, LLC (Healthy@Home-Troy)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Troy Family Medicine)
• Jeffrey Samuel Carroll, DDS
• Fred C. Christon
• Elizabeth Renukarani Claudius, MD

• Optometrist in Troy, NC
• Providers in Troy, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.