Active NPI
Robert Earl Nestor III, OD
- Optometrist
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.007170
- Practice address
- 8111 Concord Mills Blvd Ste 359
Concord, NC 28027-6482 - Phone
- (980) 258-6039
- Fax
- (855) 978-2116
- NPI assigned
- May 31, 2023
- Last updated
- Nov 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.007170 | OH | Primary |
Addresses
Primary practice location
8111 Concord Mills Blvd Ste 359
Concord, NC 28027-6482
Mailing address
285 Glendale St
Lagrange, OH 44050-9675
Phone (440) 387-6398
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6801 Northlake Mall Dr
Suite 253
Charlotte, NC 28216-0757
Phone (704) 509-4490
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.007170 | OH | MD | Optometrist |
| 2789 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corte and Wruble, OD, PLLC | Optometrist | Current | Accepting new patients |
Locations
6801 Northlake Mall Dr
Ste 253
Charlotte, NC 28216
Phone (704) 509-4366
8111 Concord Mills Blvd
Ste 359
Concord, NC 28027
Phone (980) 258-6038
Organizations & group practices 1
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": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1336832914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 GLENDALE ST",
"city": "LAGRANGE",
"state": "OH",
"postal_code": "440509675",
"telephone_number": "440-387-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 CONCORD MILLS BLVD STE 359",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276482",
"telephone_number": "980-258-6039",
"fax_number": "855-978-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTOR",
"first_name": "ROBERT",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.007170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.