Destiny McDuffie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2646 Issued in NC

Practice address

1001 Widewaters Pkwy
Knightdale, NC 27545-6102

Phone

(919) 861-2020

NPI assigned

Mar 6, 2021

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

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

Southern College of Optometry, 2020

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)

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 and National Provider Directory roles.

• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment Care Compare group NPD
• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• See More Eye Care OD, PLLC

  • Optometrist
  • Raleigh, NC
  • NPI 1396409769
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Wilson, NC
  • NPI 1376582239
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Raleigh, NC
  • NPI 1023411279
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1740875293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WIDEWATERS PKWY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456102",
            "telephone_number": "919-861-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401B Raleigh Road Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278968217",
            "country_code": "US",
            "telephone_number": "252-291-0767",
            "fax_number": "252-291-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "DESTINY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne L Masters, FNP
• Carmelesha Angelette Matthewson, C.HAIRLOSSPECIALIST
• Dona D Mayo, MS, LPC
• McCullers Delivery Service
• Jacob William McDougall, PA-C
• Kellen Reis McGeorge
• Katherine Suzanne McGowan, DPT
• Diedra S. McGuire, DDS
• Shakeria E McGuire, MSW, LCSW
• Angela Star McLean, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.