Organization Active NPI

Tom G Dellinger OD PLLC

  • Optometrist
  • Cherryville, NC
National Provider Identifier
1245092576
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOM G DELLINGER OD PLLC
Practice address
201 W Church St
Cherryville, NC 28021-2805
Phone
(704) 435-2020
Fax
(704) 435-5267
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Tom Glenn Dellinger, O.D.NPI 1699355495
Title
Direct Owner
Phone
(704) 435-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

201 W Church St
Cherryville, NC 28021-2805

Mailing address

PO Box 160
Cherryville, NC 28021-0160
Phone (704) 435-2020

Other names 1

  • Cherryville Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240227003185 NC Part B Supplier - Clinic/Group Practice 5496190662 Receives reassigned benefits from 2 practitioners
Practice locations: Cherryville, NC
O20250616000059 NC DME Supplier - Physician - Optometrist 5496190662 Practice locations: Cherryville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tom G Dellinger OD PLLC201 W Church St, Cherryville, NC 28021-2805(704) 435-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 15, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1245092576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280210160",
            "telephone_number": "704-435-2020",
            "fax_number": "704-435-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212805",
            "telephone_number": "704-435-2020",
            "fax_number": "704-435-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM G DELLINGER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "704-435-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherryville Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherryville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.