Individual provider Active NPI

Michelle Woo, OD

  • Optometrist
  • Hickory, NC
National Provider Identifier
1295264380
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2504 Issued in NC
Practice address
2266 US Highway 70 SE
Hickory, NC 28602-5164
Phone
(828) 979-3010
NPI assigned
Jun 12, 2017
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002580 VA
Optometrist 152W00000X 2504 NC Primary

Addresses

Primary practice location

2266 US Highway 70 SE
Hickory, NC 28602-5164

Mailing address

603 3Rd Ave NE
Hickory, NC 28601-5136

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
I20191203003164 NC Practitioner - Optometry 9032542139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eye Care OD, PAGroup PAC ID 6406996875, 14 clinicians

Practice addresses (Care Compare)

3916 E Franklin Blvd
Suite 160
Gastonia, NC 28056-9220
Phone (704) 565-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002580VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye Care OD, PA Optometrist CurrentSince Nov 21, 2024 Accepting new patients
Dr. Melanie S. Kiser PC Optometrist CurrentSince Oct 4, 2019 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660

1960 US Highway 70 SE
Ste 199
Hickory, NC 28602
Phone (828) 323-8833

2266 US Highway 70 SE
Hickory, NC 28602
Phone (828) 220-4171

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1295264380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 3RD AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 US HIGHWAY 70 SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025164",
            "telephone_number": "828-979-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002580",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.