Individual provider Active NPI

Patricia L Stanford-Adams, OD

  • Optometrist
  • Rocky Mount, NC
National Provider Identifier
1235100496
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1205 Issued in NC
Practice address
3044 Sunset Ave
Rocky Mount, NC 27804-3647
Phone
(252) 443-7011
Fax
(252) 443-6013
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1205 NC Primary

Addresses

Primary practice location

3044 Sunset Ave
Rocky Mount, NC 27804-3647

Mailing address

3044 Sunset Ave
Rocky Mount, NC 27804-3647
Phone (252) 443-7011

Other identifiers 2

IdentifierTypeStateIssuer
8909014MedicaidNC
09014OtherNCBCBS INDIVIDUAL NUMBER

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
I20100320000206 NC Practitioner - Optometry 6406981034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1205NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 1, 1986 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 1, 1986 Accepting new patients

Locations

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

3044 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6129

Interoperability endpoints

  • Direct secure messaging: pstanfordadams@direct.eyecare-partners.com

Organizations & group practices 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1235100496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-443-7011",
            "fax_number": "252-443-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-443-7011",
            "fax_number": "252-443-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD-ADAMS",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909014",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "09014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.