Organization Active NPI

First Choice Eye Care, OD, PLLC

  • Optometrist
  • Matthews, NC
National Provider Identifier
1770764946
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRST CHOICE EYE CARE, OD, PLLC
Practice address
14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219
Phone
(704) 893-0090
Fax
(704) 893-0944
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Kevin D Bigham, ODNPI 1225069792
Title
Optometrist
Phone
(704) 893-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X

Addresses

Primary practice location

14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219

Mailing address

14617 Lawyers Rd
Suite a
Matthews, NC 28104-3219
Phone (704) 893-0090

Other identifiers 12

IdentifierTypeStateIssuer
890925EMedicaidNC
803877OtherCOMMUNITY EYE
90703OtherMAMSI
0925EOtherNCBCBS
B9267OtherMEDCOST PREFERRED
DD2824OtherRAILROAD MEDICARE
22.00365OtherUNITED HEALTHCARE
B9267OtherMEDCOST
24119OtherAVESIS
68011OtherBEACHSTREET
803877OtherPARTNERS MEDICARE
ND1746OtherVISION BENEFITS OF AMERIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000459 NC Part B Supplier - Clinic/Group Practice 3375673718 Receives reassigned benefits from 2 practitioners
Practice locations: Matthews, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2116211First Choice Eye Care14617 Lawyers Road, Matthews, NC 28104Certificate of waiverJul 20, 2028

National Provider Directory

National Provider Directory

Locations

14617 W Lawyers Rd
Matthews, NC 28104
Phone (704) 893-0090

14617A W Lawyers Rd
Matthews, NC 28104

14617 W Lawyers Rd
#A
Matthews, NC 28104
Phone (704) 893-0090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1770764946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14617 LAWYERS RD",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043219",
            "telephone_number": "704-893-0090",
            "fax_number": "704-893-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14617 LAWYERS RD",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043219",
            "telephone_number": "704-893-0090",
            "fax_number": "704-893-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE EYE CARE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-893-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890925E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE",
            "identifier": "803877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "90703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0925E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PREFERRED",
            "identifier": "B9267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22.00365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B9267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "24119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACHSTREET",
            "identifier": "68011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "803877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "ND1746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.