Individual provider Active NPI

John Philip Foster, O.D.

  • Optometrist
  • Gastonia, NC
National Provider Identifier
1669464442
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1792 Issued in NC
Practice address
2325 Aberdeen Blvd
Gastonia, NC 28054-0614
Phone
(704) 853-3937
Fax
(704) 853-0840
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1792 NC Primary

Addresses

Primary practice location

2325 Aberdeen Blvd
Gastonia, NC 28054-0614

Mailing address

2325 Aberdeen Blvd
Gastonia, NC 28054-0614
Phone (704) 853-3937

Other identifiers 4

IdentifierTypeStateIssuer
093G7OtherNCBLUE CROSS OF NC
89093G7MedicaidNC
C7619OtherNCMEDCOST
803959OtherNCPARTNERS MEDICARE CHOICE

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
I20080923000318 NC Practitioner - Optometry 3274608948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Eye AssociatesGroup PAC ID 7618945437, 10 clinicians

Practice addresses (Care Compare)

2325 Aberdeen Blvd
Gastonia, NC 28054-0642

2325 Aberdeen Blvd a
Gastonia, NC 28054-0642
Phone (704) 853-3937

820 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone (704) 922-9808

Merit-based Incentive Payment System (MIPS)

Final score
86.21 of 100Reported as group
Quality
80.98
Improvement activities
40
Cost
79.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1792NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Eye Associates Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Gaston Eye Associates Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Columbus Eye Associates OD PA Optometrist PastSince Mar 13, 1996 Accepting new patients

Locations

820 Lower Dallas Hwy
Dallas, NC 28034
Phone (704) 922-9808

2325 Aberdeen Blvd
Ste A
Gastonia, NC 28054
Phone (704) 853-3937

2325 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 853-3937

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1669464442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 ABERDEEN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540614",
            "telephone_number": "704-853-3937",
            "fax_number": "704-853-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 ABERDEEN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540614",
            "telephone_number": "704-853-3937",
            "fax_number": "704-853-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NC",
            "identifier": "093G7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093G7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C7619",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "803959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.