Individual provider Active NPI

Esther M.H. Nakagawara, O.D.

  • Optometrist
  • Garner, NC
National Provider Identifier
1508171364
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2208 Issued in NC
Practice address
958 Vandora Springs Rd
Garner, NC 27529-3544
Phone
(919) 346-6945
Fax
(919) 651-1052
NPI assigned
Aug 17, 2010
Last updated
Aug 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2208 NC Primary

Addresses

Primary practice location

958 Vandora Springs Rd
Garner, NC 27529-3544

Mailing address

2040 Oakton Dr
Raleigh, NC 27606-9696
Phone (919) 346-6945

Other identifiers 3

IdentifierTypeStateIssuer
5918063MedicaidNC
P01191566OtherRAILROAD MEDICARE
0933POtherNCBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000350 NC Practitioner - Optometry 8820276421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2208NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brier Creek Vision Care, PA CurrentSince Aug 5, 2018 Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients

Locations

10207 Cerny St
Ste 100
Raleigh, NC 27617
Phone (919) 361-2299

9650 Brier Creek Pkwy
Ste 107
Raleigh, NC 27617
Phone (919) 361-2299

Organizations & group practices 3

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1508171364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OAKTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276069696",
            "telephone_number": "919-346-6945",
            "fax_number": "919-651-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293544",
            "telephone_number": "919-346-6945",
            "fax_number": "919-651-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWARA",
        "first_name": "ESTHER",
        "middle_name": "M.H.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918063",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01191566",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0933P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.