Individual provider Active NPI

Doua Chee Lor, OD

  • Optometrist
  • Concord, NC
National Provider Identifier
1083922306
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2204 Issued in NC
Practice address
789 Concord Pkwy N
Concord, NC 28027-6035
Phone
(704) 788-3333
Fax
(704) 788-3337
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2204 NC Primary

Addresses

Primary practice location

789 Concord Pkwy N
Concord, NC 28027-6035

Mailing address

789 Concord Pkwy N
Concord, NC 28027-6035
Phone (704) 788-3333

Other practice location 1

2340 15th Ave SE Ste 101
Hickory, NC 28602-8493
Phone (828) 569-1037

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
I20101012000917 NC Practitioner - Optometry 6002008893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Elite Family Eye Care, OD, PLLCGroup PAC ID 6800038332, 2 clinicians
Precision Eye Center OD PLLCGroup PAC ID 5890062780, 2 clinicians

Practice addresses (Care Compare)

2339 US Hwy 70 SE
Hickory, NC 28602-8300
Phone (828) 569-1037

789 Concord Pkwy N
Concord, NC 28027-6035
Phone (704) 788-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2204NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Center, OD, PLLC Optometrist CurrentSince Jan 4, 2017 Accepting new patients
Elite Family Eye Care, OD, PLLC Optometrist CurrentSince Jan 20, 2020 Accepting new patients
David M Reynolds OD PC Optometrist PastSince Jan 4, 2017 Accepting new patients

Locations

789 Concord Pkwy N
Concord, NC 28027
Phone (704) 788-3333

2339 US Highway 70 SE
Hickory, NC 28602
Phone (828) 569-1037

2340 15th Ave SE
Ste 101
Hickory, NC 28602
Phone (828) 569-1037

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.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1083922306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CONCORD PKWY N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276035",
            "telephone_number": "704-788-3333",
            "fax_number": "704-788-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CONCORD PKWY N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276035",
            "telephone_number": "704-788-3333",
            "fax_number": "704-788-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 15th Ave SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028493",
            "country_code": "US",
            "telephone_number": "828-569-1037",
            "fax_number": "888-524-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOR",
        "first_name": "DOUA",
        "middle_name": "CHEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-01-24",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.