Individual provider Active NPI

Laurel Beth Gropper, OD

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1083665301
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1418 Issued in NC
Practice address
235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone
(919) 968-4774
Fax
(919) 942-5291
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1418 NC Primary

Addresses

Primary practice location

235 S Elliott Rd
Chapel Hill, NC 27514-5831

Mailing address

PO Box 3420
Chapel Hill, NC 27515-3420
Phone (919) 968-4774

Other identifiers 1

IdentifierTypeStateIssuer
0152QOtherNCBCBS OF NC

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
I20101108000522 NC Practitioner - Optometry 8628190121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Chapel Hill Eyecare OD PLLCGroup PAC ID 4880954064, 2 clinicians

Practice addresses (Care Compare)

101 Cosgrove Ave
Suite 170
Chapel Hill, NC 27514-5277
Phone (919) 968-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1418NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Eyecare, OD PLLC CurrentSince Apr 24, 2018 Accepting new patients

Locations

235 S Elliott Rd
Chapel Hill, NC 27514
Phone (919) 968-4774

101 Cosgrove Ave
Ste 170
Chapel Hill, NC 27514
Phone (919) 968-4774

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1083665301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3420",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275153420",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROPPER",
        "first_name": "LAUREL",
        "middle_name": "BETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0152Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.