Darryl E Glover Jr., O,D,
Individual provider Active NPI Optometrist · Raleigh, NC
NPI 1487935995 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1487935995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2246 (NC)
- Practice address
- 8231 Brier Creek Pkwy
Raleigh, NC 27617-7705 - Phone
- (919) 863-5032
- Fax
- (919) 226-0040
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of North Carolina PLLC
Practice addresses (Care Compare)
8231 Brier Creek Pkwy
Raleigh, NC 27617-7705
Phone (919) 863-5032
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000388 | NC | Practitioner - Optometry | 4587839048 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2246 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Aberdeen Eye Care Associates, OD PLLC | Optometrist | Past |
Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
Locations
8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2246 | NC | Yes |
Addresses
Primary practice location
8231 Brier Creek Pkwy
Raleigh, NC 27617-7705
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919007 | Medicaid | NC | |
| 0933X | Other | NC | NCBCBS |
Other providers in Raleigh, NC
- Collin J Glomski
- Brooke Ann Gloria
- Aaron Glover
- Alan Cole Glover
- Courtney Viviana Glover
- Franklin Glover
- Judy Sholar Glover
- Krystal Kirby Glover
- Mikaela Glover
- Penny Glover
All providers in Raleigh, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.