Individual provider Active NPI

Brianna Farley, OD

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1194336214
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2679 Issued in NC
Practice address
125 Commerce Park Rd Ste 103
Mooresville, NC 28117-4818
Phone
(704) 799-2020
Fax
(704) 774-4835
NPI assigned
Aug 12, 2020
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2679 NC Primary

Addresses

Primary practice location

125 Commerce Park Rd Ste 103
Mooresville, NC 28117-4818

Mailing address

125 Commerce Park Rd Ste 103
Mooresville, NC 28117-4818
Phone (704) 799-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other Health Information Exchange (HIE)

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
I20220331002640 NC Practitioner - Optometry 2365833704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew R Treece OD PAGroup PAC ID 9234572413, 2 clinicians

Practice addresses (Care Compare)

644 Statesville Blvd
Suite 1
Salisbury, NC 28144-2281
Phone (704) 633-8975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2679NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew R. Treece, OD, PA Optometrist CurrentSince Apr 17, 2025 Accepting new patients
Andrew R. Treece, OD, PA Optometrist CurrentSince Apr 17, 2025 Accepting new patients
Vision Center of Lake Norman OD PA Optometrist CurrentSince May 25, 2022 Accepting new patients
Carolina Family Eye Care OD PLLC Optometrist PastSince Mar 1, 2003 Accepting new patients
S. Glenn Bailey O.D., Inc. Optometrist PastSince Aug 1, 2020 Accepting new patients

Locations

125 Commerce Park Rd
Ste 103
Mooresville, NC 28117
Phone (704) 799-2020

1808 E Innes St
Salisbury, NC 28146
Phone (704) 702-6974

644 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 633-8975

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1194336214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMERCE PARK RD STE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174818",
            "telephone_number": "704-799-2020",
            "fax_number": "704-774-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMERCE PARK RD STE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174818",
            "telephone_number": "704-799-2020",
            "fax_number": "704-774-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "internal messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Internal Messaging",
            "address_1": "125 Commerce Park Rd Ste 103",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281174818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.