Individual provider Active NPI

George Sherman Thurmond II, OD

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1255312963
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1402 Issued in NC
Practice address
5500 W Friendly Ave
Suite 200
Greensboro, NC 27410-4212
Phone
(336) 292-4516
Fax
(336) 292-5706
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 1402 NC Primary

Addresses

Primary practice location

5500 W Friendly Ave
Suite 200
Greensboro, NC 27410-4212

Mailing address

5500 W Friendly Ave
Suite 200
Greensboro, NC 27410-4212
Phone (336) 292-4516

Other identifiers 1

IdentifierTypeStateIssuer
890991KMedicaidNC

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
I20101209001000 NC Practitioner - Optometry 7315004561 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1402NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Optometry NC PLLC Optometrist CurrentSince Oct 11, 2023 Accepting new patients
Guilford Eye Center OD PA Optometrist CurrentSince May 7, 2001 Accepting new patients
Thurmond Eye Associates OD, PA CurrentSince Feb 1, 2003 Accepting new patients

Locations

310 S Church St
Burlington, NC 27215
Phone (336) 222-1720

5500 W Friendly Ave
Ste 200
Greensboro, NC 27410
Phone (336) 292-4516

7501 Paragon Rd
Ste 201
Dayton, OH 45459

Interoperability endpoints

  • Direct secure messaging: george.thurmond@uprisedirect.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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1255312963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 W FRIENDLY AVE",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104212",
            "telephone_number": "336-292-4516",
            "fax_number": "336-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W FRIENDLY AVE",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104212",
            "telephone_number": "336-292-4516",
            "fax_number": "336-292-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "GEORGE",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890991K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.