Individual provider Active NPI

P. Neil Ward, OD

  • Optometrist
  • Robbins, NC
National Provider Identifier
1699894204
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1377 Issued in NC
Practice address
300 S Middleton St
Robbins, NC 27325-8407
Phone
(910) 948-3711
Fax
(910) 948-4458
NPI assigned
Mar 28, 2007
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1377 NC Primary

Addresses

Primary practice location

300 S Middleton St
Robbins, NC 27325-8407

Mailing address

PO Box 909
Robbins, NC 27325-0909
Phone (910) 948-3711

Other identifiers 2

IdentifierTypeStateIssuer
09734OtherNCBLUE CROSS BLUE SHIELD
8909734MedicaidNC

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
I20120105000850 NC Practitioner - Optometry 5193839421 Practice locations: Robbins, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Middleton St
Robbins, NC 27325-8407
Phone (910) 994-8371

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1699894204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "ROBBINS",
            "state": "NC",
            "postal_code": "273250909",
            "telephone_number": "910-948-3711",
            "fax_number": "910-948-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MIDDLETON ST",
            "city": "ROBBINS",
            "state": "NC",
            "postal_code": "273258407",
            "telephone_number": "910-948-3711",
            "fax_number": "910-948-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "P. NEIL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09734",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbins, NC

Sources for this page

Verify at the official NPI Registry.