Individual provider Active NPI

Eric James Ablott, OD

  • Optometrist
  • Randleman, NC
National Provider Identifier
1356629026
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2309 Issued in NC
Practice address
200 West Academy St
Randleman, NC 27317
Phone
(336) 495-3937
NPI assigned
Jul 29, 2011
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1370 NE
Optometrist 152W00000X 2309 NC Primary

Addresses

Primary practice location

200 West Academy St
Randleman, NC 27317

Mailing address

200 W Academy Street
Randleman, NC 27317
Phone (336) 495-3937

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
I20131010002033 NC Practitioner - Optometry 4082884192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
May accept Medicare assignment
Group practices
New Garden Eye Care OD PLLCGroup PAC ID 0840601183, 3 clinicians

Practice addresses (Care Compare)

3707 Battleground Ave
Suite C
Greensboro, NC 27410-2543
Phone (336) 314-0747

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2309NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 7, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 7, 2020 Accepting new patients
New Garden Eye Care OD PLLC Optometrist CurrentSince Nov 1, 2020 Accepting new patients

Locations

3707 Battleground Ave
Ste C
Greensboro, NC 27410
Phone (336) 314-0747

200 W Academy St
Randleman, NC 27317
Phone (336) 337-1298

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

Interoperability endpoints

  • Direct secure messaging: eric.ablott@uprisedirect.com
  • Direct secure messaging: ericablott@direct.eyecare-partners.com

Organizations & group practices 4

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1356629026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "27317",
            "telephone_number": "336-495-3937",
            "fax_number": "336-495-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "27317",
            "telephone_number": "336-495-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLOTT",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1370",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

Verify at the official NPI Registry.