Active NPI
Amy Lynn Slycord, LDO
- Optician
- Kings Mountain, NC
National Provider Identifier
1760120729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 2013
- Practice address
- 316 W King St
Kings Mountain, NC 28086-3344 - Phone
- (704) 750-6164
- Fax
- (704) 750-3653
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 2013 | NC | Primary |
Addresses
Primary practice location
316 W King St
Kings Mountain, NC 28086-3344
Mailing address
316 W King St
Kings Mountain, NC 28086-3344
Phone (704) 750-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear View Optical LLC | Current | Accepting new patients | |
| Dr James R Mason Optometrist PLLC | Current | Accepting new patients |
Locations
316 W King St
Kings Mtn, NC 28086
Phone (704) 750-3653
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Kings Mountain, NC
- NPI 1669876751
-
- Optometrist
- Kings Mountain, NC
- NPI 1003347014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1760120729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W KING ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863344",
"telephone_number": "704-750-6164",
"fax_number": "704-750-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W KING ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863344",
"telephone_number": "704-750-6164",
"fax_number": "704-750-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLYCORD",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "2013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.