Individual provider Active NPI

Andrew Ryan Treece, O.D.

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1205196763
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2305 Issued in NC
Practice address
1808 E Innes St
Salisbury, NC 28146-6027
Phone
(704) 702-6974
Fax
(704) 633-9160
NPI assigned
May 17, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2305 NC Primary

Addresses

Primary practice location

1808 E Innes St
Salisbury, NC 28146-6027

Mailing address

1808 E Innes St
Salisbury, NC 28146-6027
Phone (704) 702-6974

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
I20130904000789 NC Practitioner - Optometry 3577706977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2012
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
2305NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew R. Treece, OD, PA Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince May 30, 2023 Accepting new patients
Andrew R. Treece, OD, PA Optometrist CurrentSince May 23, 2023 Accepting new patients

Locations

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

2120 Statesville Blvd
Salisbury, NC 28147
Phone (704) 636-0059

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

Organizations & group practices 3

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1205196763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466027",
            "telephone_number": "704-702-6974",
            "fax_number": "704-633-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466027",
            "telephone_number": "704-702-6974",
            "fax_number": "704-633-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.