Individual provider Active NPI

Cathy Paparazo Doty, O.D.

  • Optometrist
  • New Bern, NC
National Provider Identifier
1770624405
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1490 Issued in NC
Practice address
2805 Village Way
New Bern, NC 28562-7351
Phone
(252) 633-0016
Fax
(252) 636-3895
NPI assigned
Feb 8, 2007
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1490 NC Primary

Addresses

Primary practice location

2805 Village Way
New Bern, NC 28562-7351

Mailing address

2805 Village Way
New Bern, NC 28562-7351
Phone (252) 633-0016

Other identifiers 2

IdentifierTypeStateIssuer
890904HMedicaidNC
0904HOtherNCBCBS

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
I20111003000016 NC Practitioner - Optometry 8123155546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C and S Optometric Services PLLCGroup PAC ID 1153363254, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

13820 Hwy 55 E
Alliance, NC 28509
Phone (252) 745-4100

2805 Village Way
Trent Woods, NC 28562-7351
Phone 2526330016235

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
55.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1490NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
C & S Optometric Services PLLC Optometrist CurrentSince Oct 1, 1996 Accepting new patients
C & S Optometric Services, PLLC Optometrist CurrentSince May 1, 1995 Accepting new patients
C & S Optometric Services PLLC Optometrist CurrentSince Sep 18, 1993 Accepting new patients
C & S Optometric Services PLLC Past Accepting new patients

Locations

2805 Village Way
Trent Woods, NC 28562
Phone (252) 633-0016

Interoperability endpoints

  • Direct secure messaging: cathy.doty@direct.revolutionehr.com

Organizations & group practices 4

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1770624405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "CATHY",
        "middle_name": "PAPARAZO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890904H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0904H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.