Individual provider Active NPI

Amy Logan Salter, O.D.

  • Optometrist
  • Clayton, NC
National Provider Identifier
1215032859
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1562 Issued in NC
Practice address
100 Butternut LN
Clayton, NC 27520-5868
Phone
(919) 550-2464
Fax
(919) 550-3238
NPI assigned
Sep 14, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1562 NC Primary

Addresses

Primary practice location

100 Butternut LN
Clayton, NC 27520-5868

Mailing address

100 Butternut LN
Clayton, NC 27520-5868
Phone (919) 359-2656

Other identifiers 13

IdentifierTypeStateIssuer
22-53787OtherNCUHC
562184637OtherNCSVS
2121520OtherNCMAMSI
5515693OtherNCAETNA
562184637OtherNCVSP
20399OtherNCOPTICARE
24105OtherNCAVESIS
A7397OtherNCMEDCOST
3151896003OtherNCCIGNA
890905QMedicaidNC
1310160001OtherNCPALMETTO
0905QOtherNCBCBS
410047259OtherNCRAILROAD MEDICARE

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
I20080107000185 NC Practitioner - Optometry 8325128192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills and Salter, OD, PAGroup PAC ID 8820171788, 5 clinicians

Practice addresses (Care Compare)

100 Butternut LN
Clayton, NC 27520-5868
Phone (919) 550-2464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1562NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills & Salter, OD, PA Optometrist CurrentSince Dec 20, 2000 Accepting new patients
Smithfield Family Eye Care OD PA Optometrist Past Accepting new patients
Mills & Salter Smithfield O.D. P.a. Optometrist PastSince Aug 31, 2007 Accepting new patients
Salter Eye Associates, O.D., P.a. Optometrist Past Accepting new patients

Locations

100 Butternut Ln
Clayton, NC 27520
Phone (919) 359-2656

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1215032859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUTTERNUT LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205868",
            "telephone_number": "919-359-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUTTERNUT LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205868",
            "telephone_number": "919-550-2464",
            "fax_number": "919-550-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "AMY",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "22-53787",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SVS",
            "identifier": "562184637",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2121520",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5515693",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "562184637",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "20399",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "24105",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A7397",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3151896003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1310160001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0905Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.