Individual provider Active NPI

Charles L Balch, OD

  • Optometrist
  • Fayetteville, NC
National Provider Identifier
1376586867
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1535 Issued in NC
Practice address
579 Cross Creek Mall
Fayetteville, NC 28303-7245
Phone
(910) 487-2900
Fax
(910) 860-1954
NPI assigned
Jun 13, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1535 NC Primary

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

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
I20100329000947 NC Practitioner - Optometry 4688700651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PAGroup PAC ID 7315834462, 71 clinicians

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

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 14, 1996 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 14, 1996 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA 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

  • Direct secure messaging: cbalch@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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1376586867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 CROSS CREEK MALL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037245",
            "telephone_number": "910-487-2900",
            "fax_number": "910-860-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 CROSS CREEK MALL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037245",
            "telephone_number": "910-487-2900",
            "fax_number": "910-860-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.