Individual provider Active NPI

Casey Krug, DOCTOR OF OPTOMETRY

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1801565262
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2665 Issued in NC
Practice address
1613 Military Cutoff Rd
Wilmington, NC 28403-5744
Phone
(910) 256-6364
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2665 NC Primary

Addresses

Primary practice location

1613 Military Cutoff Rd
Wilmington, NC 28403-5744

Mailing address

111 Ramsey Rd
Asheville, NC 28806-8429
Phone (318) 517-9494

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
I20211122001248 NC Practitioner - Optometry 9931598430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ammons Perry Optometric PLLCGroup PAC ID 9537331715, 3 clinicians
Edward L. Paul, Jr., O.D., PH.D., P.a.Group PAC ID 0941309892, 5 clinicians

Practice addresses (Care Compare)

140 Airport Rd
Suite B
Arden, NC 28704-8333
Phone (828) 687-7500

1613 Military Cutoff Rd
Suite 230
Wilmington, NC 28403-5745
Phone (910) 256-6364

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2665NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward L. Paul, Jr., O.D., PH.D., P.a. Optometrist CurrentSince Aug 26, 2021 Accepting new patients
Ammons Perry Optometric, PLLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Corte and Wruble, OD, PLLC Optometrist Past Accepting new patients

Locations

140 Airport Rd
Ste B
Arden, NC 28704
Phone (828) 628-6700

1613 Military Cutoff Rd
Ste 230
Wilmington, NC 28403
Phone (910) 256-6364

1613 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6364

Organizations & group practices 3

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1801565262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RAMSEY RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288068429",
            "telephone_number": "318-517-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035744",
            "telephone_number": "910-256-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "CASEY",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.