Active NPI
Sandra Schrader-Moore, OD
- Optometrist
- Lexington, NC
National Provider Identifier
1346243318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1201
- Practice address
- 202 W Center St
Lexington, NC 27292-3012 - Phone
- (336) 248-2237
- Fax
- (336) 249-7223
- NPI assigned
- May 24, 2005
- Sex
- Female
- 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 | 1201 | NC | Primary |
Addresses
Primary practice location
202 W Center St
Lexington, NC 27292-3012
Mailing address
202 W Center St
Lexington, NC 27292-3012
Phone (336) 248-2237
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7678536002 | Other | NC | CIGNA |
| 8909656 | Medicaid | NC | |
| NC1201 | Other | NC | EYEMED |
| 0921N | Other | NC | BCBS |
| 2202170 | Other | NC | UHC |
| 33497 | Other | NC | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Optometric Eye Center, PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Winston Salem, NC
- NPI 1619062387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346243318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W CENTER ST",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923012",
"telephone_number": "336-248-2237",
"fax_number": "336-249-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W CENTER ST",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923012",
"telephone_number": "336-248-2237",
"fax_number": "336-249-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER-MOORE",
"first_name": "SANDRA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7678536002",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909656",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NC1201",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0921N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2202170",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "33497",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.