Individual provider Active NPI

Ralph Barnes Perry Sr., OD

  • Optometrist
  • Wilson, NC
National Provider Identifier
1558313379
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
769 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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 769 NC Primary

Addresses

Primary practice location

2402 Montgomery Dr
Wilson, NC 27893-4421

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
C0600OtherMEDCOST
P00129884OtherRAILROAD MEDICARE
0312480001OtherPALMETTO GBA
09707OtherNCBCBS
97184003OtherNCUHC
8909707MedicaidNC

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
I20100625000506 NC Practitioner - Optometry 9032240825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1961
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
769NCMDOptometrist
0769NCMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Eye Associates Optometrists, PA Optometrist CurrentSince Mar 4, 2010 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": "1386115200000",
    "number": "1558313379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 MONTGOMERY DR SW",
            "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_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00129884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0312480001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09707",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "97184003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909707",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.