Deborah Jessurun, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2606 Issued in NC

Practice address

1031 Grandiflora Dr
Leland, NC 28451-7453

Phone

(910) 371-0540

Fax

(910) 371-2463

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Optometry

Education

Nova Southeastern Univ College of Dental Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Rock Hill, SC
  • NPI 1205248481
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Indian Land, SC
  • NPI 1093679961
  NPD
• Myeyedr Optometry South Carolina, LLC

  • Optometrist
  • Manning, SC
  • NPI 1174984314
  NPD
• Nova Southeastern University, Inc

  • Optometrist
  • Ft. Lauderdale, FL
  • NPI 1700924511
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1811319171
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1780162446",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 GRANDIFLORA DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517453",
            "telephone_number": "910-371-0540",
            "fax_number": "910-371-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSURUN",
        "first_name": "DEBORAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Craven Jameson II, DMD
• Ania E Jarmulowicz, LCSW
• Lekeshia Williams Jarrett, MD
• Jeffrey Kozlowski DDS Leland PLLC
• Jasmine Jenkins, FNP-BC
• Nan Jiang
• Aaron Johnson, DDS
• Brandice Johnson, DC
• Kathy Painter Johnson, LCSW-A
• Laura Sophia Johnson

• Optometrist in Leland, NC
• Providers in Leland, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.