Individual provider Active NPI

Julia Pridgen Reeder, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1710173083
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2071 Issued in NC
Practice address
1975 High House Rd
Cary, NC 27519-8452
Phone
(919) 461-0771
Fax
(919) 481-0645
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2071 NC Primary

Addresses

Primary practice location

1975 High House Rd
Cary, NC 27519-8452

Mailing address

PO Box 79591
Baltimore, MD 21279-0591
Phone (703) 847-8899

Other identifiers 3

IdentifierTypeStateIssuer
0933POtherNCBCBS NC
5907927MedicaidNC
44098OtherNCRAILROAD MEDICARE

Other names 1

  • Julia Anne Pridgen Other name

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
I20071009000397 NC Practitioner - Optometry 5092800854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

6566 Glenwood Ave
Raleigh, NC 27612-7156
Phone (919) 783-0011

7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone (919) 847-5957

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2071NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients

Locations

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

1201 Raleigh Rd
Ste E
Chapel Hill, NC 27517
Phone (919) 942-2320

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1001 Widewaters Pkwy
Ste A
Knightdale, NC 27545
Phone (919) 863-2020

505 Retail Way
Ste 118
Louisburg, NC 27549
Phone (919) 496-1156

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

2024 Cameron St
Raleigh, NC 27605
Phone (919) 862-2015

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1710173083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79591",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790591",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGH HOUSE RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198452",
            "telephone_number": "919-461-0771",
            "fax_number": "919-481-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "JULIA",
        "middle_name": "PRIDGEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0933P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907927",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "44098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "PRIDGEN",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.