Lionel Nelson Chamberlain, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

832 Issued in NC

Practice address

204 Iona St
Fairmont, NC 28340-1616

Phone

(910) 268-8316

Fax

(910) 628-5642

NPI assigned

Aug 10, 2005

Last updated

Apr 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Southern College of Optometry, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel D Johnson OD PLLCGroup PAC ID 1557614393, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Samuel D Johnson OD PLLC

  • Optometrist
  • Fairmont, NC
  • NPI 1417446097
  Medicare reassignment Care Compare group NPD
• Fairmont Eye Clinic OD PLLC

  • Optometrist
  • Fairmont, NC
  • NPI 1871468413
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1225039340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283400648",
            "telephone_number": "910-628-8316",
            "fax_number": "910-628-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 IONA ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401616",
            "telephone_number": "910-268-8316",
            "fax_number": "910-628-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "LIONEL",
        "middle_name": "NELSON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0353960001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradys Pharmacy Inc (Websters Pharmacy)
• Natural Morgan Breeden, LCSWA
• Mary Alexis Britt
• Olivia Naomie Bullard
• C & E Family Care Home LLC.
• Tammy Renea Chavis-Watson, FNP
• Kaila Brooke Chavis
• Children's Health of Carolina, PA (Children's Health Fairmont)
• Clyde Aaron Collins, HSP-PA
• Cornerstone Treatment Faciltiy

• Optometrist in Fairmont, NC
• Providers in Fairmont, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.