Individual provider Active NPI

William Mark Sigmon, OD

  • Optometrist
  • Hickory, NC
National Provider Identifier
1205821550
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1232 Issued in NC
Practice address
1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4330
Phone
(828) 328-3900
Fax
(828) 328-5253
NPI assigned
Sep 13, 2005
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1232 NC Primary

Addresses

Primary practice location

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4330

Mailing address

2514 Halltown Rd
Spruce Pine, NC 28777-5461
Phone (828) 765-8477

Other practice location 1

843 N Center St
Statesville, NC 28677-3222
Phone (714) 878-2660

Other identifiers 2

IdentifierTypeStateIssuer
09071OtherNCBCBS-NC
8909071MedicaidNC

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
I20080326000584 NC Practitioner - Optometry 5698851921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4330
Phone (828) 328-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince May 30, 2023 Accepting new patients
Claremont Optometric Eye Care Center, PLLC Optometrist PastSince Nov 1, 2003 Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (828) 328-3900

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

Organizations & group practices 2

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1205821550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 HALLTOWN RD",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287775461",
            "telephone_number": "828-765-8477",
            "fax_number": "828-765-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LENOIR RHYNE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024330",
            "telephone_number": "828-328-3900",
            "fax_number": "828-328-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 N Center St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773222",
            "country_code": "US",
            "telephone_number": "714-878-2660",
            "fax_number": "704-878-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIGMON",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC",
            "identifier": "09071",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.