Active NPI
Terry W Ellington, O.D.
- Optometrist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1902
- Practice address
- 8013 N Point Blvd
Winston Salem, NC 27106-3203 - Phone
- (336) 775-1734
- Fax
- (336) 775-1734
- NPI assigned
- Jun 8, 2005
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1902 | NC | Primary |
Addresses
Primary practice location
8013 N Point Blvd
Winston Salem, NC 27106-3203
Mailing address
8013 N Point Blvd
Winston Salem, NC 27106-3203
Phone (336) 775-1734
Other practice location 1
204 Ingram Dr
King, NC 27021-8206
Phone (336) 235-4004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909668 | Medicaid | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 Ingram Dr
King, NC 27021-8206
Phone (336) 235-4004
2910 Reynolda Rd
Winston Salem, NC 27106-3016
8013 N Point Blvd
Winston Salem, NC 27106-3203
Phone (336) 724-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1902 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Clear View Optometry | Optometrist | Current | Accepting new patients |
| Clerico Optometry, P.a. | Optometrist | Past | Accepting new patients |
Locations
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020
204 Ingram Dr
King, NC 27021
Phone (336) 235-4004
2910 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 723-3341
8013 N Point Blvd
Winston Salem, NC 27106
Phone (336) 724-5000
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Winston Salem, NC
- NPI 1639781776
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- Optometrist
- Monroe, NC
- NPI 1407737182
-
- Optometrist
- Winston Salem, NC
- NPI 1164559878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1093719080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 N POINT BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063203",
"telephone_number": "336-775-1734",
"fax_number": "336-775-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8013 N POINT BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063203",
"telephone_number": "336-775-1734",
"fax_number": "336-775-1734"
}
],
"practiceLocations": [
{
"address_1": "204 Ingram Dr",
"address_purpose": "LOCATION",
"city": "King",
"state": "NC",
"postal_code": "270218206",
"country_code": "US",
"telephone_number": "336-235-4004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGTON",
"first_name": "TERRY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909668",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.