Logan Lineberry, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4644ATI Issued in OR

Practice address

10110 Green Level Church Rd Ste 102
Cary, NC 27519-8155

Phone

(919) 465-7400

Fax

(919) 465-7455

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary Family Eye Care, O.D., P.a.Group PAC ID 5395818686, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Cary Family Eye Care, O.D., P.a.

  • Optometrist
  • Cary, NC
  • NPI 1518131937

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1235913005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 GREEN LEVEL CHURCH RD STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198155",
            "telephone_number": "919-465-7400",
            "fax_number": "919-465-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 GREEN LEVEL CHURCH RD STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198155",
            "telephone_number": "919-465-7400",
            "fax_number": "919-465-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBERRY",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "4644ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Therese Lindgren
• Beth H Lindsay, M.D.
• Branden Lee Lindsey, FNP-C
• Teresa M Lineback, M.ED
• Meagan Elaine Lineberger, AGACNP-BC
• Beverly Lingerfeldt, RPH
• Tamara L Link, FNP
• Jada Linnen
• Linux
• Jessica Mae Linville, OTR/L

• Vision Therapy Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Vision Therapy Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.