Individual provider Active NPI

Peter K Dunn, O.D.

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1619925799
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1255 Issued in NC
Practice address
306 Muirs Chapel Road
Suite B
Greensboro, NC 27410-6117
Phone
(336) 854-0066
Fax
(336) 252-1053
NPI assigned
May 4, 2006
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1255 NC Primary

Addresses

Primary practice location

306 Muirs Chapel Road
Suite B
Greensboro, NC 27410-6117

Mailing address

306 Muirs Chapel Rd
Suite B
Greensboro, NC 27410-6177
Phone (336) 854-0066

Other identifiers 4

IdentifierTypeStateIssuer
09244OtherNCBLUE CROSS BLUE SHIELD
3368540066OtherNCVISION SERVICE PLAN
7909244MedicaidNC
246639AOtherNCMEDICARE PTAN

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
I20100903000879 NC Practitioner - Optometry 7719001254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Optometry NC PLLCGroup PAC ID 0749638666, 4 clinicians
Peter K Dunn OD PAGroup PAC ID 8729102264, 2 clinicians

Practice addresses (Care Compare)

306 Muirs Chapel Rd
Suite B
Greensboro, NC 27410-6178
Phone (336) 854-0066

306 Muirs Chapel Rd B
Greensboro, NC 27410-6178
Phone (336) 854-0066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1255NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter K. Dunn, O.D., P.a. Optometrist CurrentSince Jul 21, 1994 Accepting new patients
Star Optometry NC PLLC Optometrist CurrentSince Jan 25, 2026 Accepting new patients
Guilford Eye Center OD PA Optometrist PastSince May 7, 2001 Accepting new patients

Locations

306 Muirs Chapel Rd
Ste B
Greensboro, NC 27410
Phone (336) 854-0066

7501 Paragon Rd
Ste 201
Dayton, OH 45459

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1619925799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MUIRS CHAPEL RD",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106177",
            "telephone_number": "336-854-0066",
            "fax_number": "336-252-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MUIRS CHAPEL ROAD",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106117",
            "telephone_number": "336-854-0066",
            "fax_number": "336-252-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "PETER",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09244",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "3368540066",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909244",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "246639A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.