Individual provider Active NPI

Stephanie Hardy, OD

  • Optometrist
  • Shallotte, NC
National Provider Identifier
1750479838
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2085 Issued in NC
Practice address
208 Smith Ave
Shallotte, NC 28470-4458
Phone
(910) 754-2020
Fax
(910) 754-8811
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2085 NC Primary

Addresses

Primary practice location

208 Smith Ave
Shallotte, NC 28470-4458

Mailing address

PO Box 867
Shallotte, NC 28459-0867
Phone (910) 754-2020

Other practice location 1

10195 Beach Dr SW
Calabash, NC 28467-2756
Phone (910) 575-3937

Other identifiers 2

IdentifierTypeStateIssuer
NC2164AOtherNCMEDICARE PTAN
5909229MedicaidNC

Other names 1

  • Miss Stephanie R Cortese Former name

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
I20080604000083 NC Practitioner - Optometry 2062590805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Christopher J. Moshoures Optometrist PAGroup PAC ID 5193882603, 8 clinicians

Practice addresses (Care Compare)

208 Smith Ave
Shallotte, NC 28470-4458
Phone (910) 754-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2085NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christopher J. Moshoures Optometrist PA Optometrist CurrentSince Sep 13, 2011 Accepting new patients
Southport Eye Care OD PLLC Optometrist PastSince Sep 21, 2025 Accepting new patients
Phillips, Salomon & Parrish, PA Optometrist Past Accepting new patients

Locations

10195 Beach Dr SW
Calabash, NC 28467
Phone (910) 575-3937

4830 Main St
Shallotte, NC 28470
Phone (910) 754-2020

208 Smith Ave
Shallotte, NC 28470
Phone (910) 754-2020

1620 N Howe St
Southport, NC 28461
Phone (910) 457-9920

Interoperability endpoints

  • Direct secure messaging: shardy@visionsquare.eyefinity-direct.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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1750479838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284590867",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SMITH AVE",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704458",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10195 Beach Dr SW",
            "address_purpose": "LOCATION",
            "city": "Calabash",
            "state": "NC",
            "postal_code": "284672756",
            "country_code": "US",
            "telephone_number": "910-575-3937",
            "fax_number": "910-575-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC2164A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CORTESE",
            "middle_name": "R",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.