Individual provider Active NPI

Marc Douglas James, OD

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1457341836
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1579 Issued in NC
Practice address
135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842
Phone
(704) 365-0555
Fax
(704) 367-8124
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 1579 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842

Mailing address

PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555

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
I20100730000334 NC Practitioner - Optometry 0749313542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 2163484072, 26 clinicians

Practice addresses (Care Compare)

10834 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 717-0058

11835 Southmore Dr
Charlotte, NC 28277-4819
Phone (704) 341-3220

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-3870
Phone (704) 365-0555

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
93.64
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1579NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Care, PA Optometrist PastSince Jan 12, 2020 Accepting new patients
Horizon Eye Care PA Optometrist Past Accepting new patients
Horizon Eye Care PA Optometrist Past Accepting new patients
Carolina Eye Associates Inc Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marc.james.p1@direct.horizoneye.nextgenshare.com

Organizations & group practices 5

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1457341836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600160",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARC",
        "middle_name": "DOUGLAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.