Individual provider Active NPI

Austin James Degroff, OD

  • Optometrist
  • Burgaw, NC
National Provider Identifier
1487451217
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0134023 Issued in VT
Practice address
205 US Highway 117 S
Burgaw, NC 28425-6704
Phone
(910) 736-3601
NPI assigned
Feb 28, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0134023 VT Primary
Optometrist 152W00000X 2873 NC

Addresses

Primary practice location

205 US Highway 117 S
Burgaw, NC 28425-6704

Mailing address

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

Other practice location 1

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

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
I20251230000059 NC Practitioner - Optometry 6305332305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Eye, P.a.Group PAC ID 8921034323, 29 clinicians

Practice addresses (Care Compare)

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0134023VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Eye, P.a. CurrentSince Oct 16, 2025 Accepting new patients
Wilmington Eye, P.a. CurrentSince Oct 16, 2025 Accepting new patients

Locations

205 US Highway 117 S
Burgaw, NC 28425
Phone (910) 736-3601

1729 Medical Park
#P
Wilmington, NC 28403

1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261

9020 Senca Dr
Wilmington, NC 28411
Phone (910) 264-9317

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1487451217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035345",
            "telephone_number": "910-763-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 US HIGHWAY 117 S",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284256704",
            "telephone_number": "910-736-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 New Hanover Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035345",
            "country_code": "US",
            "telephone_number": "910-763-3601",
            "fax_number": "910-401-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROFF",
        "first_name": "AUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0134023",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.