Charles L Balch, OD
Individual provider Active NPI Optometrist · Fayetteville, NC
NPI 1376586867 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1376586867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1535 (NC)
- Practice address
- 579 Cross Creek Mall
Fayetteville, NC 28303-7245 - Phone
- (910) 487-2900
- Fax
- (910) 860-1954
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eyecarecenter OD PA
Practice addresses (Care Compare)
579 Cross Creek Mall
Fayetteville, NC 28303-7245
Phone (910) 487-2900
819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 972-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
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 |
|---|---|---|---|---|
| I20100329000947 | NC | Practitioner - Optometry | 4688700651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1534 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecarecenter, O.D., P.a. | Optometrist | Current |
Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current |
Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| C.V. Sikes,Jr. & R.B. Gotschalk PTR | Optometrist | Past | Accepting new patients |
Locations
579 Cross Creek Mall
Fayetteville, NC 28303
Phone (910) 487-2900
819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020
1201 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8152
Interoperability endpoints
- cbalch@direct.eyecare-partners.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1535 | NC | Yes |
Addresses
Primary practice location
579 Cross Creek Mall
Fayetteville, NC 28303-7245
Mailing address
579 Cross Creek Mall
Fayetteville, NC 28303-7245
Phone (910) 487-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909507 | Medicaid | NC | |
| 09507 | Other | NC | BCBSNC PROVIDER ID |
Other providers in Fayetteville, NC
- Balance Care Solutions PLLC
- Balance Counseling and Wellness Center, PLLC
- Balance to Health & Wellness LLC
- Balanced Care Sustains Networks PLLC
- Balanced Emotions and Resilience PLLC
- Christopher Allen Balduf
- Alexus Baldwin
- Breonna Lynn Baldwin
- Carmilia Baldwin
- Katherine L Baldwin
All providers in Fayetteville, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. 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.