Courtney Teressa Ward, OD
Individual provider Active NPI Optometrist · Rock Hill, SC
NPI 1346739075 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1346739075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2542 (NC)
- Practice address
- 2377 Dave Lyle Blvd
Rock Hill, SC 29730-7939 - Phone
- (803) 366-9404
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ryan Leblanc OD PLLC
Practice addresses (Care Compare)
7735 N Tryon St
Charlotte, NC 28262-3498
Phone (704) 547-0305
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191111000199 | NC | Practitioner - Optometry | 0244662401 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2542 | NC | MD | Clinical Psychologist |
| 2055 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Leblanc OD PLLC | Optometrist | Current |
Accepting new patients |
| Eyes on the Road Optometry, PLLC | Optometrist | Current |
Accepting new patients |
Locations
7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305
223 N Myrtle School Rd
Gastonia, NC 28052
Phone (704) 864-6670
2420 Supercenter Dr NE
Kannapolis, NC 28083
Phone (704) 786-9200
2377 Dave Lyle Blvd
Rock Hill, SC 29730
Phone (803) 366-8191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2055 | SC | |
| Optometrist | 152W00000X | 2542 | NC | Yes |
Addresses
Primary practice location
2377 Dave Lyle Blvd
Rock Hill, SC 29730-7939
Mailing address
1832 Georgianna Dr
Sumter, SC 29150-5552
Phone (803) 983-2269
Other practice location 1
223 N Myrtle School Rd
Gastonia, NC 28052-1257
Phone (704) 864-7840
Other providers in Rock Hill, SC
- Bannah Brooke Walton
- Wanderlust Counseling Services, LLC.
- Ji Fei Wang
- Wang'S Acupuncture & Herbal Clinic
- Bailey Ward
- Kiersten Anne Warfield
- Brett Michael Warren
- William Warren
- Bertheia Washington
- Kailon Washington
All providers in Rock Hill, SC · Optometrist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.