Evangeline P Odowd, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1397 Issued in NC

Practice address

505 N Judd Pkwy NE
Fuquay Varina, NC 27526-2376

Phone

(919) 557-0308

Fax

(919) 557-3818

NPI assigned

Aug 15, 2005

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

New England College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuquay Eye Care OD PAGroup PAC ID 2466587555, 4 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.

• Fuquay Eye Care OD PA

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1811981228
  Medicare reassignment Care Compare group NPD
• Eye Specialists of Carolina, P.a.

  • Ophthalmology Physician
  • Cary, NC
  • NPI 1255549424
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1740272996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N JUDD PKWY NE",
            "address_2": "STE 109",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262389",
            "telephone_number": "919-557-0308",
            "fax_number": "919-557-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262376",
            "telephone_number": "919-557-0308",
            "fax_number": "919-557-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOWD",
        "first_name": "EVANGELINE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890904A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890194Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07548)
• North Carolina Nephrology PA
• Nurtured Balance Wellness, PLLC
• Emma Cagney Nuyen
• Danielle O'Connell
• Patrick A Odowd, OD
• Michael Stanley Ommundsen, PT, DPT
• One Choice Family Care at Holland Glen St
• Janet Kemunto Ongechi
• Nnadozie Louis Onuoha, PHARMD

• Optometrist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.