Active NPI
Tom Glenn Dellinger, OD
- Optometrist
- Cherryville, NC
National Provider Identifier
1699355495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2636
- Practice address
- 201 W Church St
Cherryville, NC 28021-2805 - Phone
- (704) 435-2020
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2636 | NC | Primary |
Addresses
Primary practice location
201 W Church St
Cherryville, NC 28021-2805
Mailing address
PO Box 160
Cherryville, NC 28021-0160
Phone (704) 435-2020
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210618001436 | NC | Practitioner - Optometry | 9436559010 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tom G Dellinger OD PLLC
Practice addresses (Care Compare)
201 W Church St
Cherryville, NC 28021-2805
Phone (704) 435-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van G. Dellinger, OD, PA | Optometrist | Current | Accepting new patients |
| Tom G Dellinger OD PLLC | Optometrist | Current | Accepting new patients |
Locations
201 W Church St
Cherryville, NC 28021
Phone (704) 425-2020
Organizations & group practices 2
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": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1699355495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280210160",
"telephone_number": "704-435-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W CHURCH ST",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280212805",
"telephone_number": "704-435-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLINGER",
"first_name": "TOM",
"middle_name": "GLENN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "2636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherryville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.