Individual provider Active NPI

Suzanne Guin, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1144601535
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2410 Issued in NC
Practice address
3905 New Bern Ave
Raleigh, NC 27610-1332
Phone
(919) 231-6040
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2410 NC Primary

Addresses

Primary practice location

3905 New Bern Ave
Raleigh, NC 27610-1332

Mailing address

3905 New Bern Ave
Raleigh, NC 27610-1332

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
I20150811005156 NC Practitioner - Optometry 8628383221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

3001 Dr M L King Jr Blvd
New Bern, NC 28562-5211
Phone (252) 633-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2410NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Jun 15, 2015 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jun 15, 2015 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1001 Widewaters Pkwy
Knightdale, NC 27545
Phone (919) 266-6999

505 Retail Way
Ste 118
Louisburg, NC 27549
Phone (919) 496-1156

3001 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2901

3905 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-6040

14460 Falls of Neuse Rd
Ste 125
Raleigh, NC 27614
Phone (919) 847-4665

12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020

110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1144601535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101332",
            "telephone_number": "919-231-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIN",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.