Active NPI
Myeyedr Optometry of North Carolina, PLLC
Doing business as MyEyeDr
- Optometrist
- Morrisville, NC
National Provider Identifier
1437569225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Doing business as
- MyEyeDr
- Practice address
- 3603 Davis Dr
Suite 100
Morrisville, NC 27560-6008 - Phone
- (919) 234-4888
- Fax
- (919) 234-4890
- NPI assigned
- May 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3603 Davis Dr
Suite 100
Morrisville, NC 27560-6008
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130904000726 | NC | Part B Supplier - Clinic/Group Practice | 6608019096 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2279727 | Myeyedr Optometry of North Carolina, PLLC | Certificate of waiver | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fuquay Varina, NC
- NPI 1497531446
-
- Optometrist
- Zebulon, NC
- NPI 1770025298
-
- Optometrist
- Morrisville, NC
- NPI 1023321056
-
- Optometrist
- Durham, NC
- NPI 1649910126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653782400000",
"number": "1437569225",
"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": "3603 DAVIS DR",
"address_2": "SUITE 100",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606008",
"telephone_number": "919-234-4888",
"fax_number": "919-234-4890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-01",
"last_updated": "2022-05-29",
"certification_date": "2022-05-29",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyEyeDr",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.