Individual provider Active NPI

Eric Christopher Bryant, OD

  • Optometrist
  • Leland, NC
National Provider Identifier
1629036835
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1854 Issued in NC
Practice address
1031 Grandiflora Dr
Leland, NC 28451-7453
Phone
(910) 371-0540
Fax
(910) 371-2463
NPI assigned
May 4, 2006
Last updated
Oct 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1854 NC Primary

Addresses

Primary practice location

1031 Grandiflora Dr
Leland, NC 28451-7453

Mailing address

1319 Military Cutoff Rd
Ste II
Wilmington, NC 28405
Phone (910) 447-2020

Other identifiers 3

IdentifierTypeStateIssuer
P00476778OtherNCRR MEDICARE INDIVIDUAL #
89093NMMedicaidNC
093NMOtherNCBCBS PROV #

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
I20031111000350 NC Practitioner - Optometry 0941113377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Eyecare OD PAGroup PAC ID 9931279312, 2 clinicians

Practice addresses (Care Compare)

181 Charlotte St
Asheville, NC 28801-1979
Phone (828) 254-6757

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eyecare OD PA Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Columbus Eye Associates OD PA Optometrist PastSince Mar 13, 1996 Accepting new patients

Locations

125 E Chestnut St
#1
Asheville, NC 28801

181 Charlotte St
Asheville, NC 28801
Phone (828) 254-6757

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, 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": "1445558400000",
    "number": "1629036835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 MILITARY CUTOFF RD",
            "address_2": "STE II",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-447-2020",
            "fax_number": "910-939-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 GRANDIFLORA DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517453",
            "telephone_number": "910-371-0540",
            "fax_number": "910-371-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL #",
            "identifier": "P00476778",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093NM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "093NM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.