Charles Brian Jay, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2528 Issued in NC

Practice address

225 E Lee Ave
Yadkinville, NC 27055-8227

Phone

(336) 679-2931

Fax

(336) 677-6486

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yadkin Vision Center O.D., PLLCGroup PAC ID 7012071574, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yadkin Vision Center O.D., PLLC

  • Optometrist
  • Yadkinville, NC
  • NPI 1487807616
  Medicare reassignment Care Compare group NPD
• Yadkin Vision Center O.D., PLLC

  • Optometrist
  • East Bend, NC
  • NPI 1932353976
  NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1659860187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558227",
            "telephone_number": "336-679-2931",
            "fax_number": "336-677-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558227",
            "telephone_number": "336-679-2931",
            "fax_number": "336-677-6486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Pauline St",
            "address_purpose": "LOCATION",
            "city": "East Bend",
            "state": "NC",
            "postal_code": "270187686",
            "country_code": "US",
            "telephone_number": "336-699-8170",
            "fax_number": "336-699-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity - Pinebrook, LLC
• Integrity-Carolina Pines, LLC
• Integrity-Pinebrook, LLC
• James McGrath MD, PLLC
• Suzanne M James, P.T.
• Harriet Diane Jenkins, LCSW
• Toria Davenport Jenks, LCMHCA
• Christian Paterson Jennings, RPH
• Erica Owen Jernigan, MA, LPC
• Jodi Province Counseling Services PLLC

• Optometrist in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.