Individual provider Active NPI

Joseph Anthony Buglisi Jr., DO

  • Ophthalmology Physician
  • Jacksonville, NC
National Provider Identifier
1083821789
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200401035 Issued in NC
Practice address
250 Memorial Dr
Jacksonville, NC 28546-6332
Phone
(910) 378-8131
NPI assigned
May 16, 2007
Reactivated
Aug 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200401035 NC Primary

Addresses

Primary practice location

250 Memorial Dr
Jacksonville, NC 28546-6332

Mailing address

250 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 378-8131

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522001134 NC Practitioner - Ophthalmology 9931362316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rowan University School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buglisi Eye Care, PLLCGroup PAC ID 8022271402, 3 clinicians

Practice addresses (Care Compare)

250 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 378-8131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.49 of 100Reported as group
Quality
94.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
200401035NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Takey Crist MD PA CurrentSince Mar 28, 2012 Accepting new patients
Suncoast Medical, PC PastSince Sep 1, 2019 Accepting new patients

Locations

250 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-2115

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1083821789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-378-8131",
            "fax_number": "910-238-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-378-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGLISI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "deactivation_date": "2019-08-13",
        "reactivation_date": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200401035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.