Individual provider Active NPI

Debra C Webb, OD

  • Optometrist
  • Shallotte, NC
National Provider Identifier
1164539763
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1678 Issued in NC
Practice address
4830 Main St
Shallotte, NC 28470-1912
Phone
(910) 754-2020
Fax
(910) 754-8811
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1678 NC Primary

Addresses

Primary practice location

4830 Main St
Shallotte, NC 28470-1912

Mailing address

P O Box 867
Shallotte, NC 28459-0867
Phone (910) 754-2020

Other identifiers 3

IdentifierTypeStateIssuer
1164539763OtherNCRAILROAD MEDICARE
0916POtherNCBLUE CROSS BLUE SHIELD OF NC
890916PMedicaidNC

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
I20071015000390 NC Practitioner - Optometry 2860474160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Christopher J. Moshoures Optometrist PAGroup PAC ID 5193882603, 8 clinicians

Practice addresses (Care Compare)

208 Smith Ave
Shallotte, NC 28470-4458
Phone (910) 754-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1678NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christopher J. Moshoures Optometrist PA Optometrist CurrentSince Sep 17, 2007 Accepting new patients
Bowling Eye Clinic OD. PA. Optometrist Past Accepting new patients

Locations

10195 Beach Dr SW
Calabash, NC 28467
Phone (910) 575-3937

4830 Main St
Shallotte, NC 28470
Phone (910) 754-2020

208 Smith Ave
Shallotte, NC 28470
Phone (910) 754-2020

1620 N Howe St
Southport, NC 28461
Phone (910) 457-9920

Interoperability endpoints

  • Direct secure messaging: dwebbvs@visionsquare.eyefinity-direct.com

Organizations & group practices 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1164539763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 867",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284590867",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701912",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "DEBRA",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1164539763",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "0916P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890916P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.