Individual provider Active NPI

Michael Richard Sigmon, O. D.

  • Optometrist
  • Hickory, NC
National Provider Identifier
1750442976
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1400 Issued in NC
Practice address
2063 15TH Avenue PL SE
Hickory, NC 28602-8340
Phone
(828) 322-2606
Fax
(828) 322-3163
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1400 NC Primary

Addresses

Primary practice location

2063 15TH Avenue PL SE
Hickory, NC 28602-8340

Mailing address

2063 15TH Avenue PL SE
Hickory, NC 28602-8340
Phone (828) 322-2606

Other identifiers 1

IdentifierTypeStateIssuer
890982KMedicaidNC

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
I20040315001284 NC Practitioner - Optometry 9931098944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision First Optometry PLLCGroup PAC ID 6709291800, 4 clinicians

Practice addresses (Care Compare)

2063 15TH Ave PL SE
Hickory, NC 28602-8340
Phone (828) 322-2606

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1400NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Vision First Optometry PLLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Vision First Optometry PLLC Optometrist CurrentSince Apr 25, 2021 Accepting new patients
Winesett Optometric Eye Care, PLLC Optometrist PastSince Feb 1, 2004 Accepting new patients

Locations

201 Zelkova Ct NW
Conover, NC 28613
Phone (828) 464-4362

2063 15th Avenue Pl SE
Hickory, NC 28602
Phone (828) 322-2606

3398 Hickory Blvd
Hudson, NC 28638
Phone (828) 396-1919

174 Bolick Ln
Ste 201
Taylorsville, NC 28681
Phone (828) 495-1234

Interoperability endpoints

  • Direct secure messaging: michael.sigmon@uprisedirect.com

Organizations & group practices 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1750442976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 15TH AVENUE PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028340",
            "telephone_number": "828-322-2606",
            "fax_number": "828-322-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 15TH AVENUE PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028340",
            "telephone_number": "828-322-2606",
            "fax_number": "828-322-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMON",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890982K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.