Individual provider Active NPI

Kevin Dwayne Bigham, OD

  • Optometrist
  • Matthews, NC
National Provider Identifier
1225069792
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1746 Issued in NC
Practice address
14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219
Phone
(704) 893-0090
Fax
(704) 893-0944
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1746 NC Primary

Addresses

Primary practice location

14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219

Mailing address

14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219
Phone (704) 893-0090

Other identifiers 11

IdentifierTypeStateIssuer
803877OtherCOMMUNITY EYE
ND1746OtherVISION BENEFITS OF AMER
0925EOtherBLUE CROSS BLUE SHIELD NC
22.00365OtherUNITED HEALTHCARE
803877OtherPARTNERS MEDICARE
DD2824OtherRAILROAD MEDICARE
24119OtherAVESIS
90703OtherMAMSI
68011OtherBEACHSTREET
890925EMedicaidNC
B9267OtherMEDCOST PREFERRED

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
I20100611000499 NC Practitioner - Optometry 0446380885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Eye Care OD PLLCGroup PAC ID 3375673718, 2 clinicians

Practice addresses (Care Compare)

14617 W Lawyers Rd
Matthews, NC 28104-3219
Phone (704) 893-0090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1746NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Eye Care, OD, PLLC Optometrist CurrentSince Sep 16, 2002 Accepting new patients
Robert M Currin OD PA Optometrist Past Accepting new patients

Locations

14617A W Lawyers Rd
Matthews, NC 28104

14617 W Lawyers Rd
#A
Matthews, NC 28104
Phone (704) 893-0090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1225069792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14617 LAWYERS RD",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043219",
            "telephone_number": "704-893-0090",
            "fax_number": "704-893-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14617 LAWYERS RD",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043219",
            "telephone_number": "704-893-0090",
            "fax_number": "704-893-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGHAM",
        "first_name": "KEVIN",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE",
            "identifier": "803877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMER",
            "identifier": "ND1746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0925E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22.00365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "803877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "24119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "90703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACHSTREET",
            "identifier": "68011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890925E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PREFERRED",
            "identifier": "B9267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.