Dr Alan L Byrd and Associates of Angier OD PA
Organization Active NPI Optometrist · Willow Spring, NC
NPI 1720169220 · NPPES record last updated Jan 19, 2011
Key facts
- NPI
- 1720169220
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DR ALAN L BYRD AND ASSOCIATES OF ANGIER OD PA
- Practice address
- 8313 S NC 55 Hwy
Willow Spring, NC 27592-9543 - Phone
- (919) 639-2020
- Fax
- (919) 639-8508
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Alan L Byrd, OD
- Title
- President
- Phone
- (919) 639-2020
Practitioners 13
-
Alan L Byrd, OD
-
Jordan T Demarco, OD
-
Aaron Bishop Glass, O.D.
-
Troy Philip Swanson, O.D.
-
Timothy E Bass, OD
-
Cameron Black, O.D.
-
Caleb A Lesnoff, OD
-
Lauren Schambs Woodworth, O.D.
-
Dwight W Barnes, OD
-
Krutiben Desai, D.D.S
-
Jo'Ann Todd, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050516000993 | NC | Part B Supplier - Clinic/Group Practice | 9830130244 |
Receives reassigned benefits from 9 practitioners Practice locations: Willow Spring, NC |
National Provider Directory
Locations
15 Rawls Rd
Angier, NC 27501
Phone (919) 639-0264
8313 S NC 55 Hwy
Willow Spring, NC 27592
Phone (919) 639-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
8313 S NC 55 Hwy
Willow Spring, NC 27592-9543
Mailing address
8313 S NC 55 Hwy
Willow Spring, NC 27592-9543
Phone (919) 639-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017ET | Other | NC | BLUE CROSS BLUE SHIELD |
| 5901195 | Medicaid | NC |
Other names
- Myeyes Optometry
Other providers in Willow Spring, NC
- Commissioned Health PLLC
- Jonathan Cordell
- Nicole Diana Coughlin
- Christian Davis
- Dogwood Rehab, PLLC
- Jennifer Easley
- Wanda Nicole Eason-Melvin
- Pamela Formyduval
- Tegran Osafu Fraites
- Cheryl Ann Henderson
All providers in Willow Spring, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.