Myeyedr Optometry of North Carolina, PLLC
Organization Active NPI Optometrist · Knightdale, NC
NPI 1639572811 · NPPES record last updated May 29, 2022
Key facts
- NPI
- 1639572811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Practice address
- 1001 Widewaters Pkwy
Knightdale, NC 27545-6102 - Phone
- (919) 861-2020
- Fax
- (919) 277-0854
- NPI assigned
- Oct 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Practitioners 4
-
Keith R Hoffman, OD
-
Morgan Neal, OD
-
Monica L Reeves, OD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2300807 | Myeyedr Optometry of North Carolina, PLLC | Certificate of waiver | Mar 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130904000726 | NC | Part B Supplier - Clinic/Group Practice | 6608019096 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
499 Greenville Blvd SE
Greenville, NC 27858
Phone (252) 756-9404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1001 Widewaters Pkwy
Knightdale, NC 27545-6102
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- Myeyedr
Other providers in Knightdale, NC
- Sajdah Muhammad-Myers
- Jacolyn Emily Murphy
- Kara Elizabeth Musotto
- My Pca- Triangle
- Myeyedr Optometry of North Carolina, PLLC
- Myscripts Pharmacy LLC
- Evita Nangmenyi
- National Vision Inc
- Lucas J. Nazario Correa
- NC Doctors of Optometry PLLC
All providers in Knightdale, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.