Individual provider Active NPI

Ralph Barnes Perry Jr., OD

  • Optometrist
  • Wilson, NC
National Provider Identifier
1548212376
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1298 Issued in NC
Practice address
2402 Montgomery Dr
Wilson, NC 27893-4421
Phone
(252) 243-2020
Fax
(252) 291-2020
NPI assigned
May 17, 2006
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1298 NC Primary

Addresses

Primary practice location

2402 Montgomery Dr
Wilson, NC 27893-4421

Mailing address

2402 Montgomery Dr
Wilson, NC 27893-4421
Phone (252) 243-2020

Other identifiers 5

IdentifierTypeStateIssuer
C0601OtherMEDCOST
890905VMedicaidNC
0905VOtherNCBCBS
P00129884OtherRAILROAD MEDICARE
001933915003OtherNCUHC

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
I20100628000406 NC Practitioner - Optometry 3476684978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Eye Associates Optometrists PAGroup PAC ID 3971634767, 5 clinicians

Practice addresses (Care Compare)

2402 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 243-2020

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as individual
Quality
51.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1298NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Eye Associates Optometrists, PA Optometrist CurrentSince Nov 1, 2002 Accepting new patients

Locations

2402 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 243-2020

Organizations & group practices 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1548212376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 MONTGOMERY DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934421",
            "telephone_number": "252-243-2020",
            "fax_number": "252-291-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 MONTGOMERY DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934421",
            "telephone_number": "252-243-2020",
            "fax_number": "252-291-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RALPH",
        "middle_name": "BARNES",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0601",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0905V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00129884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "001933915003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.