Individual provider Active NPI

Cody Steven Hicks, OD

  • Optometrist
  • Southern Pines, NC
National Provider Identifier
1609555754
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2785 Issued in NC
Practice address
2170 Midland Rd
Southern Pines, NC 28387-2999
Phone
(910) 295-2100
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2430 SC
Optometrist 152W00000X 2785 NC Primary

Addresses

Primary practice location

2170 Midland Rd
Southern Pines, NC 28387-2999

Mailing address

2170 Midland Rd
Southern Pines, NC 28387-2999
Phone (910) 295-2100

Other practice location 1

101 Medical Cir
Rockingham, NC 28379-5221
Phone (910) 997-4489

Other practice location 2

705 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 577-7711

Other practice location 3

310 N Green St
Wadesboro, NC 28170-1609
Phone (704) 694-6799

Other names 1

  • Cody Hicks Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cody.hicks@direct.carolinaeye.nextgenshare.com

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
I20240402003715 NC Practitioner - Optometry 6406294065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye Associates IncGroup PAC ID 0446245864, 39 clinicians

Practice addresses (Care Compare)

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2785NCMDPsychologist
2430SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Associates Inc Optometrist CurrentSince Apr 8, 2024 Accepting new patients
Carolina Eye Associates Inc Current Accepting new patients
Carolina Eye Associates Inc Optometrist CurrentSince Apr 8, 2024 Accepting new patients

Locations

101 Medical Cir
Rockingham, NC 28379
Phone (910) 997-4489

2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221

310 N Green St
Wadesboro, NC 28170
Phone (704) 694-6799

705 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-6962

Organizations & group practices 4

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1609555754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872999",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872999",
            "telephone_number": "910-295-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283795221",
            "country_code": "US",
            "telephone_number": "910-997-4489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Chesterfield Hwy",
            "address_purpose": "LOCATION",
            "city": "Cheraw",
            "state": "SC",
            "postal_code": "295207002",
            "country_code": "US",
            "telephone_number": "843-577-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 N Green St",
            "address_purpose": "LOCATION",
            "city": "Wadesboro",
            "state": "NC",
            "postal_code": "281701609",
            "country_code": "US",
            "telephone_number": "704-694-6799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CODY",
        "middle_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2430",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cody.hicks@direct.carolinaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2170 Midland Rd",
            "city": "Southern Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283872999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "HICKS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.