Individual provider Active NPI

Barbara Marcussen Vaher, OD

  • Optometrist
  • Belmont, NC
National Provider Identifier
1366442220
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1444 Issued in NC
Practice address
1200 Spruce St
Belmont, NC 28012-3370
Phone
(704) 825-9002
Fax
(704) 825-5440
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1444 NC Primary

Addresses

Primary practice location

1200 Spruce St
Belmont, NC 28012-3370

Mailing address

1200 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-9002

Other identifiers 2

IdentifierTypeStateIssuer
8909039MedicaidNC
09039OtherNCBCBS IND

Other names 1

  • Barbara L Marcussen Professional name

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
I20111022000000 NC Practitioner - Optometry 8820073166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Eye Care OD PLLCGroup PAC ID 5294710539, 4 clinicians

Practice addresses (Care Compare)

1200 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-9002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1444NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Eye Care OD PLLC Optometrist CurrentSince Mar 8, 1997 Accepting new patients

Locations

1200 Spruce St
Belmont, NC 28012
Phone (704) 825-9002

Interoperability endpoints

  • Direct secure messaging: drmarcussen@cec.eyefinity-direct.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1366442220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-9002",
            "fax_number": "704-825-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-9002",
            "fax_number": "704-825-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHER",
        "first_name": "BARBARA",
        "middle_name": "MARCUSSEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "09039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MARCUSSEN",
            "middle_name": "L",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.