NC Doctors of Optometry PLLC

Organization Active NPI Optometrist · Greensboro, NC

NPI 1366047037 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1366047037
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
NC DOCTORS OF OPTOMETRY PLLC
Practice address
3700 W Gate City Blvd
Greensboro, NC 27407-4628
Phone
(336) 852-6664
NPI assigned
Dec 1, 2020
Organization subpart
No

Authorized official

Name
Dolsie McDonald
Title
Manager of Network Management
Phone
(726) 444-4078

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210108001888 NC Part B Supplier - Clinic/Group Practice 2860805926 Receives reassigned benefits from 25 practitioners
Practice locations: Huntersville, NC; Raleigh, NC; Morrisville, NC; Matthews, NC; Knightdale, NC; Kernersville, NC; Greensboro, NC; Charlotte, NC…

National Provider Directory

Tax ID family
NC Doctors of Optometry PLLC (3 organizations share this tax ID)

Locations

8020 Northlake Creek Dr
Ste A
Charlotte, NC 28216
Phone (704) 272-3378

1011 S Main St
Kernersville, NC 27284
Phone (336) 993-0461

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

3700 W Gate City Blvd
Greensboro, NC 27407-4628

Mailing address

19100 Ridgewood Pkwy
San Antonio, TX 78259-1834
Phone (726) 444-4078

Other practice location 1

1011 S Main St
Kernersville, NC 27284-8186
Phone (336) 993-0461

Other practice location 2

83 S Tunnel Rd Ste A2
Asheville, NC 28805-2268
Phone (828) 298-0207

Other providers in Greensboro, NC

All providers in Greensboro, NC · Optometrist in North Carolina

Sources for this page

Verify at the official NPI Registry.