Individual provider Active NPI

Dustin Lee Reece, O.D., F.A.A.O.

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1417066648
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1920 Issued in NC
Practice address
223 Faith Rd
Salisbury, NC 28146-7005
Phone
(704) 637-7728
Fax
(704) 636-4284
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 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 1920 NC Primary

Addresses

Primary practice location

223 Faith Rd
Salisbury, NC 28146-7005

Mailing address

223 Faith Rd
Salisbury, NC 28146-7005
Phone (704) 637-7728

Other identifiers 1

IdentifierTypeStateIssuer
89136FJMedicaidNC

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
I20050106001049 NC Practitioner - Optometry 4385692250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Eye Care of Salisbury OD PAGroup PAC ID 0648335331, 2 clinicians
Modern Eye Care OD PAGroup PAC ID 3274621289, 3 clinicians

Practice addresses (Care Compare)

223 Faith Rd
Salisbury, NC 28146-7005
Phone (704) 637-7728

5325 Vinning St NW
Suite 202
Concord, NC 28027-2946
Phone (704) 792-2777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1920NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Eye Care of Salisbury OD PA Optometrist CurrentSince Sep 2, 2015 Accepting new patients
Modern Eye Care OD PA Optometrist CurrentSince May 7, 2007 Accepting new patients
David L. King Optometrist Past Accepting new patients
Eyecare Specialties of North Carolina OD PLLC Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

5325 Vinning St NW
Ste 202
Concord, NC 28027
Phone (704) 792-2777

223 Faith Rd
Salisbury, NC 28146
Phone (704) 637-7728

Interoperability endpoints

  • Direct secure messaging: dustin.reece@direct.revolutionehr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1417066648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 FAITH RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467005",
            "telephone_number": "704-637-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 FAITH RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467005",
            "telephone_number": "704-637-7728",
            "fax_number": "704-636-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "DUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136FJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.