Rick Dale Bartlett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1039MB0063824 Issued in NC

Practice address

843 N Center St
Statesville, NC 28677-3222

Phone

(704) 878-2660

Fax

(704) 878-2636

NPI assigned

Jul 27, 2005

Last updated

Jul 24, 2008By the provider in NPPES

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

Other identifiers 1

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

Southern College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Optometric Center PA

  dba Triangle Visions Optometry

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  Medicare reassignment Care Compare group NPD
• Bartlett Grigsby Boan & Assoc PLLC

  dba Peak Eye Care

  • Optometrist
  • Salisbury, NC
  • NPI 1013960517
  Authorized official Same address or phone
• Bartlett Grigsby Boan & Assoc PLLC

  dba Peak Eye Care

  • Optometrist
  • Statesville, NC
  • NPI 1265485791
  Authorized official Same address or phone
• Bartlett Grigsby Boan & Assoc PLLC

  dba Peak Eye Care

  • Optometrist
  • Hickory, NC
  • NPI 1801849302
  Authorized official Same address or phone
• South Carolina CVS Pharmacy LLC

  dba CVS Pharmacy #03541

  • Pharmacy
  • Anderson, SC
  • NPI 1114020971
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1669472106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-878-2660",
            "fax_number": "704-873-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-878-2660",
            "fax_number": "704-878-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "RICK",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1039MB0063824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909038",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Dale Barkley, FNP
• Julie Barnett, LPN
• Gloria Ostafy Bartelt, MPH, R.D., L.D.
• Perry Lester Bartelt, MD
• Bartlett Grigsby Boan & Assoc PLLC (Peak Eye Care)
• Carl Lee Bass III, D.D.S.
• Be the Change Counseling and Consultation Services PLLC
• Beam & Chapman Inc (Southside Drug Company)
• Phillip Daniel Beaver, D.D.S.
• Jenna Beebe, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.