Individual provider Active NPI

Cory Partlow, O.D.

  • Optometrist
  • Black Mountain, NC
National Provider Identifier
1396972063
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC2316 Issued in NC
Practice address
411 W State St Ste B
Black Mountain, NC 28711-3344
Phone
(812) 219-2134
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC2316 NC Primary

Addresses

Primary practice location

411 W State St Ste B
Black Mountain, NC 28711-3344

Mailing address

411 W State St Ste B
Black Mountain, NC 28711-3344
Phone (812) 219-2134

Other practice location 1

1870 Reservoir St
Harrisonburg, VA 22801-8742
Phone (540) 434-6622

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
I20130810000075 NC Practitioner - Optometry 8921147570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Mountain Family Eyecare OD PLLC 2 clinicians

Practice addresses (Care Compare)

411 W State St
Suite B
Black Mountain, NC 28711-3344
Phone (828) 357-5511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2316NCMDPsychologist
NC2316NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Family Eyecare OD PLLC Optometrist CurrentSince May 1, 2013 Accepting new patients
MPG LLC Optometrist Past Accepting new patients
Clark Optometric Center PA Optometrist Past Accepting new patients
Michelle L Reames O.D.,P.a. Optometrist PastSince Jun 19, 2007 Accepting new patients

Locations

411 W State St
#B
Black Mtn, NC 28711
Phone (828) 357-5511

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396972063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W STATE ST STE B",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113344",
            "telephone_number": "812-219-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W STATE ST STE B",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113344",
            "telephone_number": "812-219-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Reservoir St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018742",
            "country_code": "US",
            "telephone_number": "540-434-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTLOW",
        "first_name": "CORY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.