Individual provider Active NPI

Tom Glenn Dellinger, OD

  • Optometrist
  • Cherryville, NC
National Provider Identifier
1699355495
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2636 Issued in NC
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

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

Practice addresses (Care Compare)

201 W Church St
Cherryville, NC 28021-2805
Phone (704) 435-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Van G. Dellinger, OD, PA Optometrist CurrentSince Jun 7, 2021 Accepting new patients
Tom G Dellinger OD PLLC Optometrist CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.