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Myeyedr Optometry of North Carolina PLLC

Organization Active NPI Optometrist · Roxboro, NC

NPI 1689080673 · NPPES record last updated May 29, 2022

Key facts

NPI
1689080673
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC
Practice address
1000 N Madison Blvd
Roxboro, NC 27573-4527
Phone
(336) 597-2020
Fax
(336) 597-2026
NPI assigned
Jul 10, 2014
Organization subpart
No

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 167

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Myeyedr Optometry of North Carolina
1000 N Madison Blvd, Roxboro, NC 27573-4527 · (336) 597-2020		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Jul 31, 2013

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130904000726 NC Part B Supplier - Clinic/Group Practice 6608019096 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
O20150317002821 NC DME Supplier - Physician - Optometrist 6608019096 Practice locations: Roxboro, NC

National Provider Directory

Tax ID family
Myeyedr Optometry of North Carolina PLLC (55 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

1000 N Madison Blvd
Roxboro, NC 27573-4527

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names

  • MyEyeDr Doing business as

Other providers in Roxboro, NC

All providers in Roxboro, NC · Optometrist in North Carolina

Sources for this page

Verify at the official NPI Registry.