Individual provider Active NPI

Douglas Ray Owens, O.D.

  • Optometrist
  • Forest City, NC
National Provider Identifier
1417961806
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1106 Issued in NC
Practice address
640 Oak St
Forest City, NC 28043-3470
Phone
(828) 245-5550
Fax
(828) 245-0551
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 1106 NC Primary

Addresses

Primary practice location

640 Oak St
Forest City, NC 28043-3470

Mailing address

335 E Parker Rd
Morganton, NC 28655-5112
Phone (828) 433-1000

Other identifiers 2

IdentifierTypeStateIssuer
64653OtherNCBLUE CROSS BLUE SHIELD NC
8964653MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
84.63
Promoting interoperability
100
Improvement activities
40
Cost
77.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1106NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Morganton Eye Physicians, P.a. Optometrist Current Accepting new patients

Locations

335 E Parker Rd
Morganton, NC 28655
Phone (828) 433-1000

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1417961806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555112",
            "telephone_number": "828-433-1000",
            "fax_number": "828-433-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 OAK ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433470",
            "telephone_number": "828-245-5550",
            "fax_number": "828-245-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DOUGLAS",
        "middle_name": "RAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "64653",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.