Individual provider Active NPI

Tyler Stiegemeier, OD

  • Optometrist
  • Carrboro, NC
National Provider Identifier
1467820704
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2435 Issued in NC
Practice address
200 W Weaver St Ste 110
Carrboro, NC 27510-6009
Phone
(919) 968-6300
NPI assigned
Sep 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2435 NC Primary

Addresses

Primary practice location

200 W Weaver St Ste 110
Carrboro, NC 27510-6009

Mailing address

5004 Alenja LN
Raleigh, NC 27616-5026

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
I20151202002031 NC Practitioner - Optometry 9436459138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrboro Family Vision LLCGroup PAC ID 8820058597, 5 clinicians
Eyecare Specialties of North Carolina OD PLLCGroup PAC ID 8820462252, 12 clinicians

Practice addresses (Care Compare)

200 W Weaver St
Suite 1
Carrboro, NC 27510-6009
Phone (919) 968-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2435NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrboro Family Vision LLC Optometrist CurrentSince Jul 22, 2019 Accepting new patients
Eyecare Specialties of North Carolina OD PLLC Optometrist CurrentSince Sep 12, 2025 Accepting new patients
Adler Eye Associates, O.D., P.a. Optometrist PastSince Aug 24, 2000 Accepting new patients

Locations

200 W Weaver St
Ste 110
Carrboro, NC 27510
Phone (919) 968-6300

200 W Weaver St
Ste 1
Carrboro, NC 27510
Phone (919) 968-6300

200 W Weaver St
Carrboro, NC 27510
Phone (919) 619-4012

861 Willow Dr
Ste 2
Chapel Hill, NC 27514
Phone (919) 929-7111

861 Willow Dr
Chapel Hill, NC 27514
Phone (919) 929-7111

504 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 351-8600

Organizations & group practices 3

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1467820704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 ALENJA LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WEAVER ST STE 110",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106009",
            "telephone_number": "919-968-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEGEMEIER",
        "first_name": "TYLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.