Active NPI
Bupathi Dissanayake-Musalem, O.D.
- Optometrist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2308
- Practice address
- 1975 High House Rd
Cary, NC 27519-8452 - Phone
- (919) 461-0771
- NPI assigned
- Jul 13, 2011
- Last updated
- Oct 29, 2021
- 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 | 2308 | NC | Primary |
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
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1975 High House Rd
Cary, NC 27519-8452
Phone (919) 461-0771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
Locations
800 W Williams St
Ste 164
Apex, NC 27502
Phone (919) 272-9970
1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771
2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093
2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224
2346 Walnut St
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
Organizations & group practices 5
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.
-
- Optometrist
- Monroe, NC
- NPI 1407737182
-
- Optometrist
- Greensboro, NC
- NPI 1528400223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1497043335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 HIGH HOUSE RD",
"city": "CARY",
"state": "NC",
"postal_code": "275198452",
"telephone_number": "919-461-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISSANAYAKE-MUSALEM",
"first_name": "BUPATHI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.