Organization Active NPI

Salisbury Eyecare and Eyewear OD PLLC

  • Clinic/Center
  • Salisbury, NC
National Provider Identifier
1255701710
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2148 Issued in NC
Legal business name
SALISBURY EYECARE AND EYEWEAR OD PLLC
Practice address
228 W Council St
Salisbury, NC 28144-4323
Phone
(704) 310-5002
Fax
(704) 310-5003
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dr. Melanie Jade Denton, ODNPI 1982836235
Title
Owner/Optometrist
Phone
(734) 945-0782

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
Clinic/Center 261Q00000X 2148 NC Primary

Addresses

Primary practice location

228 W Council St
Salisbury, NC 28144-4323

Mailing address

228 W Council St
Salisbury, NC 28144-4323
Phone (704) 310-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000194 NC Part B Supplier - Clinic/Group Practice 8820392129 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2104863Salisbury Eyecare and Eyewear, OD, PLLC228 W Council Street, Salisbury, NC 28144Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

228 W Council St
Salisbury, NC 28144
Phone (704) 310-2005

205 E Council St
Ste B
Salisbury, NC 28144
Phone (704) 310-5002

Practitioners & affiliated clinicians

Practitioners 2

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": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1255701710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W COUNCIL ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444323",
            "telephone_number": "704-310-5002",
            "fax_number": "704-310-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W COUNCIL ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444323",
            "telephone_number": "704-310-5002",
            "fax_number": "704-310-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY EYECARE AND EYEWEAR OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "734-945-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.