Individual provider Active NPI

Richard D Ayuso, OD

  • Optometrist
  • Jacksonville, NC
National Provider Identifier
1508800178
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1487 Issued in NC
Practice address
315A Western Blvd
Jacksonville, NC 28546-6338
Phone
(910) 353-1011
Fax
(910) 353-4433
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1487 NC Primary

Addresses

Primary practice location

315A Western Blvd
Jacksonville, NC 28546-6338

Mailing address

315A Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 353-1011

Other identifiers 1

IdentifierTypeStateIssuer
890903BMedicaidNC

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
I20100514000870 NC Practitioner - Optometry 8022146802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Eye, P.a.Group PAC ID 8921034323, 29 clinicians

Practice addresses (Care Compare)

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1487NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince May 9, 1994 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Wilmington Eye, P.a. CurrentSince Jul 10, 2021 Accepting new patients
Wilmington Eye, P.a. CurrentSince Jul 10, 2021 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince May 9, 1994 Accepting new patients

Locations

315A Western Blvd
Jacksonville, NC 28546
Phone (910) 353-1011

315 Western Blvd
#A
Jacksonville, NC 28546
Phone (910) 353-1011

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

5211 Eason St
#1
Southport, NC 28461
Phone (910) 454-0563

1729 Medical Park
#P
Wilmington, NC 28403

1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261

Interoperability endpoints

  • Direct secure messaging: rayuso@wileye.intellechartdirect.net
  • Direct secure messaging: rayuso@direct.eyecare-partners.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1508800178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315A WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "910-353-1011",
            "fax_number": "910-353-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315A WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "910-353-1011",
            "fax_number": "910-353-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUSO",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890903B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.