Myeyedr Optometry of North Carolina, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC

Practice address

11088 N US Hwy 15 501
925
Aberdeen, NC 28315-2385

Phone

(910) 693-1226

Fax

(910) 692-8983

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Sue Healey

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• Myeyedr Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie K Cox, OD

  • Optometrist
  • Pinehurst, NC
  • NPI 1568402543
  NPD
• Audrey Lake House, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1568518116
  NPD
• Glenn C Middleton, O.D.

  • Optometrist
  • Aberdeen, NC
  • NPI 1508816489
  NPD
• Marc Musto, O.D.

  • Optometrist
  • Concord, NC
  • NPI 1730555061
  NPD

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1104229343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11088 N US HWY 15 501",
            "address_2": "925",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152385",
            "telephone_number": "910-693-1226",
            "fax_number": "910-692-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myeyedr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myeyedr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benford Evans Morse Jr., PHARMD
• Sydrena Murchison, LCSW-A
• Madison Murphey
• Madison Murray
• Susan Myers, M.D.
• Charlie E Nall, RDH
• National Vision, Inc.
• Walid Ahmed Nazari, PHARMD
• North Carolina CVS Pharmacy LLC
• Sidney Steven Odom, BS PHARM

• Optometrist in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.