Myeyedr Optometry of North Carolina, PLLC
Organization Active NPI Optometrist · Thomasville, NC
NPI 1154710291 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1154710291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Practice address
- 1033 Randolph St Ste 4
Thomasville, NC 27360-5731 - Phone
- (336) 476-3141
- Fax
- (336) 475-7539
- NPI assigned
- Jan 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Corporate family (same tax ID) 19
Practitioners 1
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
- Tax ID family
- Myeyedr Optometry of North Carolina PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1033 Randolph St Ste 4
Thomasville, NC 27360-5731
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- Myeyedr
Other providers in Thomasville, NC
- Belinda Burleson Mull
- Murchison Hauling LLC
- Shriee Murchison
- Sarah Murdock
- Steven J Muscoreil
- Emma Namendorf
- Heather Naschke
- James Dallas Neal
- Yasmine Monique Neal
- Brittany Nelson
All providers in Thomasville, 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 Jul 17, 2024. 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.