Individual provider Active NPI

Cam Tieu Ngo, OD

  • Optometrist
  • Monroe, NC
National Provider Identifier
1679261499
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2764 Issued in NC
Practice address
1007 Skyway Dr Ste a
Monroe, NC 28110-3051
Phone
(704) 289-1547
NPI assigned
Apr 28, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 2764 NC Primary

Addresses

Primary practice location

1007 Skyway Dr Ste a
Monroe, NC 28110-3051

Mailing address

PO Box 207261
Dallas, TX 75320-7261

Other practice location 1

3401 Raleigh Road Pkwy W
Wilson, NC 27896-8218
Phone (252) 291-0767

Other practice location 2

5850 W Highway 74
Indian Trail, NC 28079-3400
Phone (704) 234-7355

Other practice location 3

7510 Pineville Matthews Rd
Charlotte, NC 28226-3906
Phone (704) 542-2844

Other practice location 4

1520 South Blvd Ste 105
Charlotte, NC 28203-4786
Phone (704) 392-2020

Other practice location 5

1001 E Wt Harris Blvd Ste H
Charlotte, NC 28213-5180
Phone (704) 549-4523

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
I20240415002537 NC Practitioner - Optometry 6103265848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

1007 A Skyway Dr
Monroe, NC 28110-3042
Phone (704) 289-1547

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2764NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 14, 2023 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 14, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

1001 E Wt Harris Blvd
Ste H
Charlotte, NC 28213
Phone (704) 549-4523

1208 South Blvd
Charlotte, NC 28203
Phone (704) 392-2020

1520 South Blvd
Ste 105
Charlotte, NC 28203
Phone (704) 392-2020

6311 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 542-2844

7510 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 542-2844

113 Country Club Dr NE
Concord, NC 28025
Phone (704) 786-7600

1813 W Ehringhaus St
Elizabeth Cty, NC 27909
Phone (252) 333-1155

579 Cross Creek Mall
Fayetteville, NC 28303
Phone (910) 487-2900

1300 Eastchester Dr
High Point, NC 27265
Phone (336) 884-3937

315A Western Blvd
Jacksonville, NC 28546
Phone (910) 353-1011

4130 Western Blvd
Jacksonville, NC 28546
Phone (910) 353-9200

1007 Skyway Dr
Ste A
Monroe, NC 28110
Phone (704) 289-1547

2001 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-6900

4170 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 772-2020

4325 Glenwood Ave
Raleigh, NC 27612
Phone (919) 782-4100

106 Long Cir
Roanoke Rapids, NC 27870
Phone (252) 537-6101

3044 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6129

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1201 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8152

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

800 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 765-5788

Interoperability endpoints

  • Direct secure messaging: camngo@direct.eyecare-partners.com

Organizations & group practices 8

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1679261499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SKYWAY DR STE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103051",
            "telephone_number": "704-289-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Raleigh Road Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278968218",
            "country_code": "US",
            "telephone_number": "252-291-0767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 W Highway 74",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793400",
            "country_code": "US",
            "telephone_number": "704-234-7355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 Pineville Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263906",
            "country_code": "US",
            "telephone_number": "704-542-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 South Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034786",
            "country_code": "US",
            "telephone_number": "704-392-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Wt Harris Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135180",
            "country_code": "US",
            "telephone_number": "704-549-4523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "CAM",
        "middle_name": "TIEU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.