Active NPI
Patricia P Champion
- Optometrist
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1541
- Practice address
- 188 Medical Park Dr Ste C
Brevard, NC 28712-4188 - Phone
- (828) 884-7320
- NPI assigned
- Jun 21, 2006
- Last updated
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1541 | NC | Primary |
Addresses
Primary practice location
188 Medical Park Dr Ste C
Brevard, NC 28712-4188
Mailing address
188 Medical Park Dr Ste C
Brevard, NC 28712-4188
Phone (828) 884-7320
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2271058 | Other | NC | UNITED HEALTHCARE |
| NC01541 | Other | NC | VISION BENEFITS OF AMERIC |
| 114419 | Other | NC | EYEMED |
| 890911X | Medicaid | NC | |
| 1329153 | Other | NC | CIGNA |
| 10716 | Other | NC | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
188 Medical Park Dr
Suite C
Brevard, NC 28712-4188
Phone (828) 884-7320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1541 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Looking Glass Eye Center PA | Optometrist | Current | Accepting new patients |
| Looking Glass Eye Center P a | Optometrist | Current | Accepting new patients |
Locations
188 Medical Park Dr
Ste C
Brevard, NC 28712
Phone (828) 884-7320
215 Thompson St
Hendersonvlle, NC 28792
Phone (828) 693-4161
Organizations & group practices 2
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": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1811933401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 MEDICAL PARK DR STE C",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124188",
"telephone_number": "828-884-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 MEDICAL PARK DR STE C",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124188",
"telephone_number": "828-884-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "PATRICIA",
"middle_name": "P",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2271058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "NC01541",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "114419",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890911X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1329153",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10716",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
- Anna Katherine Cascio, ND
- Karen O'Neill Casey, NP
- Catherine Dubose Prather-Loewen
- Cedar Mountain House LLC (Cedar Mountain House)
- Center for Spine and Joint Wellness, P.a. (Center for Spine & Joint Wellness)
- Justin B Chang, DDS
- Charles D. Lefler M.D. ,P.a
- Marco Chavarria-Aguilar, MD
- Choice Sleep Labs Inc
- Dana Christianson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.