Individual provider Active NPI

Stephen J Merckle, O.D.

  • Optometrist
  • Rolesville, NC
National Provider Identifier
1780637496
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1833 Issued in NC
Practice address
220 Southtown Cir
Rolesville, NC 27571-9593
Phone
(919) 554-2440
Fax
(919) 554-1571
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1833 NC Primary

Addresses

Primary practice location

220 Southtown Cir
Rolesville, NC 27571-9593

Mailing address

220 Southtown Cir
Rolesville, NC 27571-9593
Phone (919) 554-2440

Other identifiers 1

IdentifierTypeStateIssuer
89093KEMedicaidNC

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
I20060920000321 NC Practitioner - Optometry 7911902242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6011 Rogers Rd
Rolesville, NC 27571-3700
Phone (919) 554-2440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Wake Eye Care, Dr. Stephen J. Merckle O.D., P.a. Optometrist CurrentSince Jun 19, 2006 Accepting new patients

Locations

6011 Rogers Rd
Rolesville, NC 27571

220 Southtown Cir
Rolesville, NC 27571
Phone (919) 554-2440

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1780637496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719593",
            "telephone_number": "919-554-2440",
            "fax_number": "919-554-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719593",
            "telephone_number": "919-554-2440",
            "fax_number": "919-554-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCKLE",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093KE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

Verify at the official NPI Registry.