Individual provider Active NPI

David Brennen Throneburg, OD

  • Optometrist
  • Southern Pines, NC
National Provider Identifier
1144211483
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1693 Issued in NC
Practice address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone
(910) 295-2100
Fax
(910) 295-3625
NPI assigned
Nov 4, 2005
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 1693 NC Primary

Addresses

Primary practice location

2170 Midland Rd
Southern Pines, NC 28387-2927

Mailing address

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

Other practice location 1

1991 Fordham Dr Ste 301
Fayetteville, NC 28304-3774
Phone (910) 485-2020

Other practice location 2

1223 Carthage St
Sanford, NC 27330-8984
Phone (919) 776-7549

Other identifiers 11

IdentifierTypeStateIssuer
124971OtherNCOPTICARE
890906WMedicaidNC
0906WOtherNCBCBS
180034437OtherNCRAILROAD MEDICARE
NCK7580355OtherNCMEDICARE
370068OtherNCMAMSI
DN1693MedicaidSC
368226OtherNCUSA MANAGED CARE
2238830OtherNCUNITED HEALTHCARE
86924OtherNCMEDCOST
FH7000015OtherNCFIRSTCAROLINACARE

Other names 1

  • Dr. David B Throneburg Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.throneburg@direct.carolinaeye.nextgenshare.com

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
I20050722000879 NC Practitioner - Optometry 1254308513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye Associates IncGroup PAC ID 0446245864, 39 clinicians

Practice addresses (Care Compare)

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
87.45
Promoting interoperability
97
Improvement activities
40
Cost
70.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1693NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Associates Inc Optometrist CurrentSince Apr 25, 2002 Accepting new patients
Carolina Eye Associates Inc Optometrist Current Accepting new patients
Carolina Eye Associates Inc Current Accepting new patients

Locations

1991 Fordham Dr
Ste 301
Fayetteville, NC 28304
Phone (910) 484-7744

514 S Main St
Laurinburg, NC 28352
Phone (910) 276-4075

1223 Carthage St
Sanford, NC 27330
Phone (919) 776-7549

2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221

Interoperability endpoints

  • Direct secure messaging: david.throneburg@direct.carolinaeye.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1144211483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Fordham Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-485-2020",
            "fax_number": "910-485-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-776-7549",
            "fax_number": "919-774-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THRONEBURG",
        "first_name": "DAVID",
        "middle_name": "BRENNEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "124971",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890906W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0906W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034437",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCK7580355",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "370068",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DN1693",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "368226",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2238830",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "86924",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE",
            "identifier": "FH7000015",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.throneburg@direct.carolinaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2170 Midland Rd",
            "city": "Southern Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283872927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "THRONEBURG",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.