Jody Dale Papazekos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1670 Issued in NC

Practice address

19 S Center St
Taylorsville, NC 28681-2500

Phone

(828) 632-4566

Fax

(828) 352-9511

NPI assigned

Sep 20, 2006

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Optometry

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Dr Melanie S Kiser PCGroup PAC ID 3375784564, 4 clinicians

Corte and Wruble, OD, PLLCGroup PAC ID 5294002689, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corte and Wruble, OD, PLLC

  dba Northlake Eye

  • Optometrist
  • Charlotte, NC
  • NPI 1821529249
  Medicare reassignment Care Compare group NPD
• Dr. Melanie S. Kiser PC

  dba Kiser Eye Care

  • Optometrist
  • Hickory, NC
  • NPI 1417397027
  Medicare reassignment Care Compare group NPD
• Dr. Jody D Papazekos

  • Optometrist
  • Taylorsville, NC
  • NPI 1831241728
  Authorized official Same address or phone
• Jody Dale Papazekos OD

  • Optometrist
  • Hickory, NC
  • NPI 1144372483
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1730286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286810231",
            "telephone_number": "828-632-4566",
            "fax_number": "828-352-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S CENTER ST",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812500",
            "telephone_number": "828-632-4566",
            "fax_number": "828-352-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G120 Morganton Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555210",
            "country_code": "US",
            "telephone_number": "828-632-4566",
            "fax_number": "828-352-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAZEKOS",
        "first_name": "JODY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIV SERV FOR THE BLIND ID",
            "identifier": "Y-1947",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER NUMBER",
            "identifier": "119986000",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890917M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "001971501",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0917M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peace Haven Group Home, LLC
• Kimberly Teala Pauline Pennell, LPCA
• April Helton Phares, FNP-BC
• Piedmont Healthcare, PA
• Howard Leon Plant Jr., DMD

• Optometrist in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.