Active NPI
Chris Rankin Glendenning, O.D.
- Optometrist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1457
- Practice address
- 201 Racine Dr
Wilmington, NC 28403-8702 - Phone
- (910) 395-6050
- Fax
- (910) 794-2222
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1457 | NC | Primary |
Addresses
Primary practice location
201 Racine Dr
Wilmington, NC 28403-8702
Mailing address
1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410048188 | Other | NC | RR MEDICARE INDIVIDUAL # |
| 8909712 | Medicaid | NC | |
| 410032674 | Other | NC | RR MEDICARE INDIVIDUAL # |
| 09712 | Other | NC | BCBS PROV # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100915001216 | NC | Practitioner - Optometry | 7012032923 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of North Carolina PLLC
Practice addresses (Care Compare)
201 Racine Dr
Wilmington, NC 28403-8702
Phone (910) 395-6050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
Locations
313 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3010
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
1031 Grandiflora Dr
Leland, NC 28451
Phone (910) 371-0540
5615 S NC 41 Hwy
Ste 300
Wallace, NC 28466
Phone (910) 285-5050
1994 S 17th St
Wilmington, NC 28401
Phone (910) 254-9292
201 Racine Dr
Wilmington, NC 28403
Phone (910) 395-6050
5619 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 790-0212
3501 Oleander Dr
Ste 7
Wilmington, NC 28403
Phone (910) 254-9292
5619 Carolina Beach Rd
Ste 110
Wilmington, NC 28412
Phone (910) 790-0212
6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 21
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1386607133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"address_2": "SUITE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 RACINE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284038702",
"telephone_number": "910-395-6050",
"fax_number": "910-794-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENDENNING",
"first_name": "CHRIS",
"middle_name": "RANKIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL #",
"identifier": "410048188",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909712",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL #",
"identifier": "410032674",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "09712",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.