Eyecare Specialties of North Carolina OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE SPECIALTIES OF NORTH CAROLINA OD PLLC

Practice address

504 Village Walk Dr
Holly Springs, NC 27540-4440

Phone

(919) 351-8600

Fax

(314) 741-4947

NPI assigned

Nov 9, 2022

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Allison

Title

Sr. Dir. RCM/MVC

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Luong Barber, O.D.

  • Optometrist
  • Durham, NC
  • NPI 1386069599
  Medicare reassignment Care Compare group NPD
• Adam B Bryan, OD

  • Optometrist
  • Holly Springs, NC
  • NPI 1053349803
  Medicare reassignment Care Compare group NPD
• Jason Chow, O.D.

  • Optometrist
  • Carrboro, NC
  • NPI 1528005147
  Medicare reassignment Care Compare group NPD
• Leslie T Dunn, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1649344599
  Medicare reassignment Care Compare group NPD
• Rachel Mallory Friel, OD

  • Optometrist
  • Carrboro, NC
  • NPI 1699297804
  Medicare reassignment Care Compare group NPD
• Tanner Owen Johnson

  • Optometrist
  • Holly Springs, NC
  • NPI 1700630209
  Medicare reassignment Care Compare group NPD
• David L King, OD

  • Optometrist
  • China Grove, NC
  • NPI 1457389090
  Medicare reassignment Care Compare group NPD
• Tyler Stiegemeier, OD

  • Optometrist
  • Carrboro, NC
  • NPI 1467820704
  Medicare reassignment Care Compare group NPD
• Matthew David Vizithum, O.D.

  • Optometrist
  • Carrboro, NC
  • NPI 1578584371
  Medicare reassignment Care Compare group NPD
• Caleb Watson, OD

  • Optometrist
  • China Grove, NC
  • NPI 1841161783
  Medicare reassignment Care Compare group NPD
• Nima Naik, OD

  • Optometrist
  • Alexandria, VA
  • NPI 1538241377

  NC

  Medicare reassignment Care Compare group NPD
• Gerardo Guadarrama Jr., OD

  • Optometrist
  • Raleigh, NC
  • NPI 1215771043
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1699483586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026241",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404440",
            "telephone_number": "919-351-8600",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SPECIALTIES OF NORTH CAROLINA OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIR. RCM/MVC",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lynn Elliott, PTA
• Shanti Priya Eranti
• Jennifer Marie Errichetti
• Ethio BDR LLC
• Eye Care Associates OD PA
• Lauren Elizabeth Faidley, PA-C
• Family Focus Chiropractic
• Elisa Angelyn Fanlo, MS, MA, LCMHC, LCAS
• Aliya Farah
• Nathan Dakota Faris, PA-C

• Optometrist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.