Individual provider Active NPI

Stephanie T Whitacre, O.D.

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1609871854
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1923 Issued in NC
Practice address
143 W Franklin St
Chapel Hill, NC 27516-2539
Phone
(919) 968-3937
Fax
(919) 932-3290
NPI assigned
Jun 15, 2005
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 1923 NC Primary

Addresses

Primary practice location

143 W Franklin St
Chapel Hill, NC 27516-2539

Mailing address

143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 968-3937

Other identifiers 2

IdentifierTypeStateIssuer
89093PCMedicaidNC
093PCOtherNCBCBS INDIVIDUAL NUMBER

Other names 1

  • Dr. Stephanie L Tompkins Former name

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
I20040216000154 NC Practitioner - Optometry 2567357056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smithfield Family Eye Care OD PAGroup PAC ID 6204134851, 4 clinicians
RS Eye Care, OD, PAGroup PAC ID 0749450443, 5 clinicians

Practice addresses (Care Compare)

1680 E Booker Dairy Rd
Smithfield, NC 27577-9405
Phone (919) 938-6101

5225 Sunset Lake Rd
Holly Springs, NC 27540-3793
Phone (919) 303-4445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RS Eye Care, OD, PA Optometrist CurrentSince May 8, 2019 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince May 20, 2017 Accepting new patients
Smithfield Family Eye Care OD PA Optometrist CurrentSince Jun 6, 2020 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince May 20, 2017 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients

Locations

140 W Franklin St
Unit 185
Chapel Hill, NC 27516
Phone (919) 966-3937

5225 Sunset Lake Rd
Holly Springs, NC 27540
Phone (919) 303-4445

5237 Sunset Lake Rd
Holly Springs, NC 27540

4170 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 772-2020

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

1680 E Booker Dairy Rd
Smithfield, NC 27577
Phone (919) 938-1190

Interoperability endpoints

  • Direct secure messaging: swhitacreod@direct.eyecare-partners.com

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, 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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1609871854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-968-3937",
            "fax_number": "919-932-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-968-3937",
            "fax_number": "919-932-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093PC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "093PC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TOMPKINS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.