Individual provider Active NPI

Ashley Marie Outar, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1760040760
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2669 Issued in NC
Practice address
8231 Brier Creek Pkwy
Raleigh, NC 27617-7705
Phone
(919) 863-5032
Fax
(919) 863-5038
NPI assigned
Jun 4, 2019
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5672 FL
Optometrist 152W00000X 2669 NC Primary

Addresses

Primary practice location

8231 Brier Creek Pkwy
Raleigh, NC 27617-7705

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

3251 Daniels Rd Ste 124
Winter Garden, FL 34787-7015
Phone (407) 654-5116

Other identifiers 1

IdentifierTypeStateIssuer
OPC5762MedicaidFL

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
I20211122000051 NC Practitioner - Optometry 0648669226 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2669NCMDMental Health Counselor
OPC5672FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jan 3, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jan 3, 2022 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1760040760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 BRIER CREEK PKWY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177705",
            "telephone_number": "919-863-5032",
            "fax_number": "919-863-5038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 Daniels Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347877015",
            "country_code": "US",
            "telephone_number": "407-654-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTAR",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5672",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OPC5762",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.