Individual provider Active NPI

Bianca G Oliver, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1619455268
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2546 Issued in NC
Practice address
8821 Six Forks Rd
Raleigh, NC 27615-2970
Phone
(919) 341-4688
Fax
(919) 647-7755
NPI assigned
Aug 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2546 NC Primary

Addresses

Primary practice location

8821 Six Forks Rd
Raleigh, NC 27615-2970

Mailing address

8821 Six Forks Rd
Raleigh, NC 27615-2970
Phone (919) 341-4688

Other names 1

  • Bianca G Augustino 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
I20190610000195 NC Practitioner - Optometry 4284967100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5720 Creedmoor Rd
Suite 101
Raleigh, NC 27612-2382
Phone (919) 341-4688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2546NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Vision Center OD PA Optometrist CurrentSince Apr 17, 2019 Accepting new patients
Oak City Vision Center OD PLLC Optometrist CurrentSince Apr 1, 2021 Accepting new patients

Locations

1049 Beaver Creek Commons Dr
Apex, NC 27502
Phone (919) 367-2832

5720 Creedmoor Rd
Ste 101
Raleigh, NC 27612
Phone (919) 693-6661

8821 Six Forks Rd
Raleigh, NC 27615
Phone (919) 341-4688

Interoperability endpoints

  • Direct secure messaging: bianca.oliver@uprisedirect.com

Organizations & group practices 2

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": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1619455268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152970",
            "telephone_number": "919-341-4688",
            "fax_number": "919-647-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152970",
            "telephone_number": "919-341-4688",
            "fax_number": "919-647-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "BIANCA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "AUGUSTINO",
            "middle_name": "G",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.