Advanced Family Eye Care - DRS of Optometry PLLC
Organization Active NPI Optometrist · Denver, NC
NPI 1366471526 · NPPES record last updated Jul 2, 2009
Key facts
- NPI
- 1366471526
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1850 (NC)
- Legal business name
- ADVANCED FAMILY EYE CARE - DRS OF OPTOMETRY PLLC
- Practice address
- 7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7677 - Phone
- (704) 822-9920
- Fax
- (704) 822-1764
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda L Barker, DD
- Title
- Owner Optometrist
- Phone
- (704) 822-9920
Practitioners 8
-
Catherine M Earl, O.D.
-
Sandra L Farnham, O.D.
-
Kimberly Z Hoyle, OD
-
Soham Phatak, OD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2138064 | Advanced Family Eye Care | Certificate of waiver | Oct 9, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Family Eye Care - DRS of O |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000404 | NC | Part B Supplier - Clinic/Group Practice | 6204733033 |
Receives reassigned benefits from 7 practitioners Practice locations: Denver, NC; Sherrills Ford, NC |
| O20100930061010 | NC | DME Supplier - Physician - Optometrist |
6204733033 | Practice locations: Denver, NC |
National Provider Directory
Locations
7547 Waterside Loop Rd
Ste A
Denver, NC 28037
Phone (704) 822-9920
7547 Waterside Loop Rd
Denver, NC 28037
Phone (704) 822-9920
401 N Generals Blvd
Lincolnton, NC 28092
Phone (704) 732-0917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1850 | NC | Yes |
| Optometrist |
152W00000X | 1857 | NC | |
| Optometrist |
152W00000X | 2046 | NC |
Addresses
Primary practice location
7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7677
Mailing address
7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7677
Phone (704) 822-9920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015G1 | Medicaid | NC | |
| 015G1 | Other | NC | BCBS |
Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2009. 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.
- 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.