Individual provider Active NPI

Macy Alexandra Lewis, OD

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1720805252
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2819 Issued in NC
Practice address
3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196
Phone
(919) 263-9163
Fax
(919) 263-9408
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 2819 NC Primary

Addresses

Primary practice location

3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196

Mailing address

3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196
Phone (919) 263-9163

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
I20241126002125 NC Practitioner - Optometry 8022543180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Family Eye Care OD PAGroup PAC ID 1355590969, 7 clinicians

Practice addresses (Care Compare)

3150 Rogers Rd
Suite 110
Wake Forest, NC 27587-4196
Phone (919) 263-9163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2819NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Family Eye Care OD, PA Optometrist CurrentSince Aug 30, 2024 Accepting new patients

Locations

3150 Rogers Rd
Ste 110
Wake Forest, NC 27587
Phone (919) 263-6163

Organizations & group practices 1

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1720805252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "919-263-9163",
            "fax_number": "919-263-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "919-263-9163",
            "fax_number": "919-263-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MACY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.