Individual provider Active NPI

Ji Young Ahn, OD

  • Optometrist
  • Burlington, NC
National Provider Identifier
1215713466
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003222 Issued in VA
Practice address
2603 Holly Hill St
Burlington, NC 27215-5156
Phone
(336) 228-6423
NPI assigned
Sep 5, 2023
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003222 VA Primary
Optometrist 152W00000X 2802 NC

Addresses

Primary practice location

2603 Holly Hill St
Burlington, NC 27215-5156

Mailing address

2603 Holly Hill St
Burlington, NC 27215-5156
Phone (336) 228-1766

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
I20250410001465 NC Practitioner - Optometry 0143744243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith B. Nice, OD, PLLCGroup PAC ID 9931513454, 3 clinicians

Practice addresses (Care Compare)

2603 Holly Hill St
Burlington, NC 27215-5156
Phone (336) 228-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2802NCMDAddiction (Substance Use Disorder) Counselor
0618003222VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith B. Nice, OD, PLLC Optometrist CurrentSince Feb 14, 2025 Accepting new patients

Locations

2603 Holly Hill St
Burlington, NC 27215
Phone (336) 228-1766

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1215713466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155156",
            "telephone_number": "336-228-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155156",
            "telephone_number": "336-228-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JI YOUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003222",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.