Andrew R. Treece, OD, PA
Organization Active NPI Optometrist · Salisbury, NC
NPI 1265202808 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1265202808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ANDREW R. TREECE, OD, PA
- Practice address
- 644 Statesville Blvd
Salisbury, NC 28144-2280 - Phone
- (897) 570-4633
- NPI assigned
- Jan 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Andrew Ryan Treece, OD
- Title
- President
- Phone
- (704) 702-6974
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 2
-
Brianna Farley, OD
-
Andrew Ryan Treece, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240205001461 | NC | Part B Supplier - Clinic/Group Practice | 9234572413 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Salisbury, NC |
National Provider Directory
- Tax ID family
- Andrew R Treece
Locations
644 Statesville Blvd
Salisbury, NC 28144
Phone (704) 933-3965
1808 E Innes St
Salisbury, NC 28146
Phone (704) 702-6974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
644 Statesville Blvd
Salisbury, NC 28144-2280
Mailing address
1808 E Innes St
Salisbury, NC 28146-6027
Phone (704) 702-6974
Other providers in Salisbury, NC
- Anchored Community Care Agency
- Crystal D Anderson
- Jimmie Scott Anderson
- Luanne Anderson
- Naomi Monee' Anderson
- Andrew R. Treece, OD, PA
- Andrew S. Jeter, DC PA
- Eric Andrews
- John William Andrews
- Madison Angell
All providers in Salisbury, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.