Individual provider Active NPI

Michael C Baughan, OD

  • Optometrist
  • Elizabeth City, NC
National Provider Identifier
1275576282
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1744 Issued in NC
Practice address
1813 W Ehringhaus St
Elizabeth City, NC 27909-4555
Phone
(252) 333-1155
Fax
(252) 333-1796
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 1744 NC Primary

Addresses

Primary practice location

1813 W Ehringhaus St
Elizabeth City, NC 27909-4555

Mailing address

1813 W Ehringhaus St
Elizabeth City, NC 27909-4555
Phone (252) 333-1155

Other identifiers 2

IdentifierTypeStateIssuer
89093A0MedicaidNC
093A0OtherNCBCBSNC INDIVIDUAL NUMBER

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
I20100318000322 NC Practitioner - Optometry 1850426628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1744NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Apr 2, 2001 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Apr 2, 2001 Accepting new patients
Wilcox Optometry PLLC Optometrist CurrentSince Aug 26, 2024 Accepting new patients
William S Blakemore MD LTD Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1813 W Ehringhaus St
Elizabeth Cty, NC 27909
Phone (252) 333-1155

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

5569 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-8777

Interoperability endpoints

  • Direct secure messaging: mbaughan@direct.eyecare-partners.com
  • Direct secure messaging: michael.baughan.1@14533.direct.athenahealth.com
  • Direct secure messaging: michael.baughanod.p1@direct.vec.nextgenshare.com

Organizations & group practices 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1275576282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W EHRINGHAUS ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094555",
            "telephone_number": "252-333-1155",
            "fax_number": "252-333-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W EHRINGHAUS ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094555",
            "telephone_number": "252-333-1155",
            "fax_number": "252-333-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093A0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC INDIVIDUAL NUMBER",
            "identifier": "093A0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.