Myeyedr Optometry of North Carolina, PLLC
Organization Active NPI Optometrist · Mount Holly, NC
NPI 1083434740 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1083434740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Practice address
- 612 S Main St
Mount Holly, NC 28120-1653 - Phone
- (704) 822-0099
- Fax
- (704) 822-0077
- NPI assigned
- Oct 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Corporate family (same tax ID) 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130904000726 | NC | Part B Supplier - Clinic/Group Practice | 6608019096 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Myeyedr Optometry of North Carolina PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
612 S Main St
Mount Holly, NC 28120-1653
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Mount Holly, NC
- Mount Holly Dentistry
- Mount Holly Eye Clinic, OD, PA
- Mountain Island Charter School Inc
- Moving Forward Express Health and Home Care Services
- Mt Holly Family Practice Inc
- N&G Transport, LLC
- Michael Jay Navel
- Ronald Neal
- Reimark Bactat Neidermeier
- Amanda Nelson
All providers in Mount Holly, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.