Individual provider Active NPI

Jo'Ann Todd, OD

  • Optometrist
  • Lillington, NC
National Provider Identifier
1205169653
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2138 Issued in NC
Practice address
104 S Main St
Lillington, NC 27546-8968
Phone
(910) 814-2020
Fax
(919) 639-8508
NPI assigned
Sep 16, 2009
Last updated
May 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2138 NC Primary
Optometrist 152W00000X 0618001788 VA

Addresses

Primary practice location

104 S Main St
Lillington, NC 27546-8968

Mailing address

1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 658-2020

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
I20091120000399 NC Practitioner - Optometry 4880733435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 658-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001788VAMDOptometrist
2138NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Alan L Byrd & Associates OD PA Optometrist CurrentSince Sep 30, 2009 Accepting new patients
Dr Alan L Byrd & Associates of Erwin OD PA Optometrist CurrentSince Sep 30, 2009 Accepting new patients
Dr Joann Todd & Associates of Optometry, PLLC Optometrist CurrentSince Feb 18, 2013 Accepting new patients
Dr Alan L Byrd & Associates at Landmark OD PA Optometrist PastSince Sep 1, 2008 Accepting new patients

Locations

2332 W Cumberland St
Dunn, NC 28334
Phone (910) 897-2020

104 S Main St
Lillington, NC 27546
Phone (910) 814-2020

1122 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 639-2020

8313 S NC 55 Hwy
Willow Spring, NC 27592
Phone (919) 639-2020

Organizations & group practices 4

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1205169653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N BREAZEALE AVE",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651121",
            "telephone_number": "919-658-2020",
            "fax_number": "919-658-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468968",
            "telephone_number": "910-814-2020",
            "fax_number": "919-639-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JO'ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2138",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.