Individual provider Active NPI

Adam Joseph Palo, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1396014486
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2243 Issued in NC
Practice address
712 Seaboard Station Dr
Raleigh, NC 27604-1199
Phone
(919) 200-4840
Fax
(919) 977-6943
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2243 NC Primary

Addresses

Primary practice location

712 Seaboard Station Dr
Raleigh, NC 27604-1199

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

2807 N Main St
Tarboro, NC 27886-1903
Phone (252) 823-8295

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
I20130221000258 NC Practitioner - Optometry 0749437986 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

712 Seaboard Station Dr
Raleigh, NC 27604-1199
Phone (919) 266-2048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tei- Davidson OD Optometrist Current Accepting new patients
Good Looks, OD, PA Optometrist CurrentSince May 20, 2018 Accepting new patients
Knightdale Eyecare Optometric, P.a. Optometrist CurrentSince Oct 24, 2016 Accepting new patients
Eye Institute OD Optometrist CurrentSince Jul 25, 2017 Accepting new patients
Tarboro Eye Associates OD PLLC Optometrist Current Accepting new patients
Tei-Wake Forest OD PLLC Optometrist CurrentSince May 23, 2025 Accepting new patients

Locations

742 McKnight Dr
Ste 100
Knightdale, NC 27545
Phone (919) 266-2048

8511 Colonnade Center Dr
Ste 100
Raleigh, NC 27615
Phone (910) 527-9517

8511 Colonnade Center Dr
Raleigh, NC 27615

111 Seaboard Ave
Ste 110
Raleigh, NC 27604
Phone (919) 200-4840

712 Seaboard Station Dr
Raleigh, NC 27604
Phone (919) 200-4840

2807 N Main St
Tarboro, NC 27886
Phone (252) 823-8295

3211 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 453-1220

Organizations & group practices 6

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1396014486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SEABOARD STATION DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041199",
            "telephone_number": "919-200-4840",
            "fax_number": "919-977-6943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861903",
            "country_code": "US",
            "telephone_number": "252-823-8295",
            "fax_number": "252-823-8552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALO",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.