Myeyedr Optometry of North Carolina, PLLC
Organization Active NPI Optometrist · Greensboro, NC
NPI 1134522303 · NPPES record last updated May 29, 2022
Key facts
- NPI
- 1134522303
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Practice address
- 3354 W Friendly Ave
Greensboro, NC 27410-4888 - Phone
- (336) 387-0930
- Fax
- (336) 387-0938
- NPI assigned
- Oct 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Practitioners 12
-
Harleen Kaur, OD
-
Angela Petracca, OD
-
Caroline Silver, OD
-
Amber Wiggins, OD
-
Holly Elizabeth Moose, OD, PHD
-
Darah L Newell, OD
-
Jennifer Tran, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130904000726 | NC | Part B Supplier - Clinic/Group Practice | 6608019096 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3354 W Friendly Ave
Greensboro, NC 27410-4888
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- Myeyedr
Other providers in Greensboro, NC
- Charles J Myers
- Denise R Myers
- Gloria Myers
- Kermit Myers
- Myeyedr Optometry of North Carolina PLLC
- Myeyedr Optometry of North Carolina, PLLC
- Mylan Health Management LLC
- N Motion, LLC
- N& R Enterprises LLC
- N&N Inc
All providers in Greensboro, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.