Active NPI
David Brennen Throneburg, OD
- Optometrist
- Southern Pines, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1693
- 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, 2023
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124971 | Other | NC | OPTICARE |
| 890906W | Medicaid | NC | |
| 0906W | Other | NC | BCBS |
| 180034437 | Other | NC | RAILROAD MEDICARE |
| NCK7580355 | Other | NC | MEDICARE |
| 370068 | Other | NC | MAMSI |
| DN1693 | Medicaid | SC | |
| 368226 | Other | NC | USA MANAGED CARE |
| 2238830 | Other | NC | UNITED HEALTHCARE |
| 86924 | Other | NC | MEDCOST |
| FH7000015 | Other | NC | FIRSTCAROLINACARE |
Other names 1
- Dr. David B Throneburg
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 87.45
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1693 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Eye Associates Inc | Optometrist | Current | 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
- 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.
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Dunn, NC
- NPI 1861655714
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Lumberton, NC
- NPI 1174053904
Optometrist
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Southern Pines, NC
- NPI 1245211333
Optometrist
-
dba Carolina Eye Associates PA
- Ophthalmology Physician
- Albemarle, NC
- NPI 1649349291
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.