Myeyedr Optometry of North Carolina, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC

Practice address

4949 Professional Park Dr
Suite 202
Kannapolis, NC 28081-8637

Phone

(704) 938-9777

Fax

(704) 938-9773

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Sue Healey, MRS.

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Brooke Boyd Maneth, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1972943496
  NPD
• Jordan T Demarco, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1215389812
  NPD
• Philip Burton Funderburk, OD

  • Optometrist
  • Mint Hill, NC
  • NPI 1093830135
  NPD
• Frederic A Munz, O.D.

  • Optometrist
  • Wake Forest, NC
  • NPI 1912908872
  NPD
• Rachel Nicole Werner, OD

  • Optometrist
  • Boston, MA
  • NPI 1275155947
  NPD

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1194152017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PROFESSIONAL PARK DR",
            "address_2": "SUITE 202",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818637",
            "telephone_number": "704-938-9777",
            "fax_number": "704-938-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899",
        "authorized_official_credential": "MRS."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Morris
• Janiece Morrow
• Michael Anthony Morton Jr., DDS
• Robert Moser, MD
• Katie Diane Murphy, M.S. CF-SLP
• Andrew Wesley Nance, MD
• Bradley Daniel Nathanson
• National Vision, Inc.
• Navigating Change Healthcare, LLC
• Kendra L Nelson, RD

• All providers in Kannapolis, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.