Individual provider Active NPI

Marguerite R. Gross, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1629027651
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1340 Issued in NC
Practice address
229 Crossroads Blvd
Cary, NC 27511-6893
Phone
(919) 233-8500
Fax
(919) 233-9783
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1340 NC Primary

Addresses

Primary practice location

229 Crossroads Blvd
Cary, NC 27511-6893

Mailing address

229 Crossroads Blvd
Cary, NC 27511-6893
Phone (919) 233-8500

Other identifiers 1

IdentifierTypeStateIssuer
09489OtherNCBCBSNC 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
I20101021000804 NC Practitioner - Optometry 7911190020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

229 Crossroads Blvd
Cary, NC 27518-6893
Phone (919) 233-8500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1340NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 1, 1994 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 1, 1994 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

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

3044 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6129

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1629027651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CROSSROADS BLVD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116893",
            "telephone_number": "919-233-8500",
            "fax_number": "919-233-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CROSSROADS BLVD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116893",
            "telephone_number": "919-233-8500",
            "fax_number": "919-233-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MARGUERITE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PTAN",
            "identifier": "09489",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.