Individual provider Active NPI

Julie Hutchinson McGinnis, O.D.

  • Optometrist
  • Monroe, NC
National Provider Identifier
1184855561
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2009016927 Issued in MO
Practice address
2406 W Roosevelt Blvd
Monroe, NC 28110-8430
Phone
(704) 226-1855
Fax
(704) 226-0695
NPI assigned
Aug 3, 2009
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2433 NC
Optometrist 152W00000X 2009016927 MO Primary

Addresses

Primary practice location

2406 W Roosevelt Blvd
Monroe, NC 28110-8430

Mailing address

1614 Belvedere Ave
Charlotte, NC 28205-2914
Phone (919) 389-5565

Other identifiers 1

IdentifierTypeStateIssuer
1184855561MedicaidMO

Other names 1

  • Dr. Julie Kathleen Hutchinson Former name

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
I20160506001363 NC Practitioner - Optometry 2860518834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 clinicians

Practice addresses (Care Compare)

1116 Crossroads Dr
Statesville, NC 28625-8277
Phone (704) 872-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009016927MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Affinia Healthcare Past Accepting new patients
Affinia Healthcare Past Accepting new patients
Affinia Healthcare Past Accepting new patients
Affinia Healthcare Past Accepting new patients

Locations

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

2406 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 226-0884

1116 Crossroads Dr
Statesville, NC 28625
Phone (704) 871-9824

1116 Crossroads Dr
#1662
Statesville, NC 28625

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1184855561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 BELVEDERE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052914",
            "telephone_number": "919-389-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108430",
            "telephone_number": "704-226-1855",
            "fax_number": "704-226-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "JULIE",
        "middle_name": "HUTCHINSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2433",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009016927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184855561",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HUTCHINSON",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.