Active NPI
Carol Moss Bridges, O.D.
- Optometrist
- Shelby, NC
National Provider Identifier
1245246628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1435
- Practice address
- 1622 E Marion St
Shelby, NC 28150-4939 - Phone
- (704) 482-2020
- Fax
- (704) 482-7707
- NPI assigned
- Jul 31, 2006
- Last updated
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1435 | NC | Primary |
Addresses
Primary practice location
1622 E Marion St
Shelby, NC 28150-4939
Mailing address
335 E Parker Rd
Morganton, NC 28655-5112
Phone (828) 433-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909100 | Medicaid | NC | |
| 09100 | Other | NC | BLUE CROSS BLUE SHIELD NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.77 of 100
- Quality
- 84.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1435 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1245246628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E PARKER RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555112",
"telephone_number": "828-433-1000",
"fax_number": "828-433-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 E MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504939",
"telephone_number": "704-482-2020",
"fax_number": "704-482-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "CAROL",
"middle_name": "MOSS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909100",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "09100",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Cassidy Branham, PT, DPT
- Christopher John Breese, PHARMD
- Anita M Brennan, MPT
- Brenton L Young DDS and Pauline E Cahill DDS PA (Shelby Dental Care Center)
- Bridge Residential and Community Services
- Erin Michelle Bridges, PA
- Jenna Grace Bridges, PA-C
- Michell Deann Bridges
- Olivia Bridges
- Winburn Scott Bridges, B.S. PHARMACY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.