Individual provider Active NPI

Roman Hyke, OD

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1225836885
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2846 Issued in NC
Practice address
1401 Westgate Center Dr
Winston Salem, NC 27103-2995
Phone
(336) 774-1770
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2846 NC Primary

Addresses

Primary practice location

1401 Westgate Center Dr
Winston Salem, NC 27103-2995

Mailing address

1111 Magnolia St
Winston Salem, NC 27103-4327
Phone (205) 514-0915

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
I20250411003386 NC Practitioner - Optometry 8123542099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaluzne Optometry PAGroup PAC ID 3375792914, 2 clinicians

Practice addresses (Care Compare)

1401 Westgate Ctr Dr
Winston Salem, NC 27103-2995
Phone (336) 774-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2846NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaluzne Optometry, PA Optometrist CurrentSince Mar 20, 2025 Accepting new patients

Locations

1401 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 774-1770

Organizations & group practices 1

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1225836885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MAGNOLIA ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034327",
            "telephone_number": "205-514-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032995",
            "telephone_number": "336-774-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYKE",
        "first_name": "ROMAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.