Augusta Reid Patty Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1088 Issued in NC

Practice address

2326 S Church St
Burlington, NC 27215-5387

Phone

(336) 513-0073

Fax

(336) 513-0204

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patty Vision Center OD PAGroup PAC ID 0143200584, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Patty Vision Center OD PA

  • Optometrist
  • Yanceyville, NC
  • NPI 1497798177
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1578516944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155388",
            "telephone_number": "336-513-0073",
            "fax_number": "336-513-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155387",
            "telephone_number": "336-513-0073",
            "fax_number": "336-513-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTY",
        "first_name": "AUGUSTA",
        "middle_name": "REID",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909696",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Hinesley Patterson, DPT
• Tristin Nichole Patterson, PHARMD
• Tyler Patterson, PHARMD
• Vicki Michelle Patterson
• Patty Vision Center OD PA
• Paul Girls Legacy Transport Services LLC
• Matthew D. Paulakonis, M.P.T.
• Elizabeth Pawluk, PHARMD
• Jonathan E Paylor
• Aidyn Peace

• Optometrist in Burlington, NC
• Providers in Burlington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.

Verify at the official NPI Registry.