Active NPI
Mary A Masters, O.D.
- Optometrist
- Hope Mills, NC
National Provider Identifier
1487626263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1086
- Practice address
- 3701 S Main St
Hope Mills, NC 28348-1958 - Phone
- (910) 423-0700
- Fax
- (910) 423-0974
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1086 | NC | Primary |
Addresses
Primary practice location
3701 S Main St
Hope Mills, NC 28348-1958
Mailing address
PO Box 804
Lumberton, NC 28359-0804
Phone (910) 618-9947
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0953C | Other | NC | BLUE CROSS & BLUE SHIELD |
| 890953C | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720000993 | NC | Practitioner - Optometry | 9739260993 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.54 of 100
- Quality
- 77.08
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086 | NC | MD | Clinical Child & Adolescent Psychologist |
Interoperability endpoints
- maryann.masters@direct.revolutionehr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1487626263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283590804",
"telephone_number": "910-618-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S MAIN ST",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283481958",
"telephone_number": "910-423-0700",
"fax_number": "910-423-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0953C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890953C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hope Mills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.