Bupathi Dissanayake-Musalem, O.D.
Individual provider Active NPI Optometrist · Cary, NC
NPI 1497043335 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1497043335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2308 (NC)
- Practice address
- 1975 High House Rd
Cary, NC 27519-8452 - Phone
- (919) 461-0771
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of North Carolina PLLC
Practice addresses (Care Compare)
1975 High House Rd
Cary, NC 27519-8452
Phone (919) 461-0771
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 |
|---|---|---|---|---|
| I20140805000552 | NC | Practitioner - Optometry | 9638396302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2308 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current |
Accepting 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 |
Locations
800 W Williams St
Ste 164
Apex, NC 27502
Phone (919) 362-0332
2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224
2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093
1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771
2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
3354 W Friendly Ave
Greensboro, NC 27410
Phone (336) 387-0930
3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930
3603 Davis Dr
Ste 100
Morrisville, NC 27560
Phone (919) 234-4888
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2308 | NC | Yes |
Addresses
Primary practice location
1975 High House Rd
Cary, NC 27519-8452
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 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.