Active NPI
Matthew James Bailey, O.D.
- Optometrist
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2008
- Practice address
- 113 Country Club Dr NE
Concord, NC 28025-2935 - Phone
- (704) 786-7600
- Fax
- (704) 792-2131
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- 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 | 2008 | NC | Primary |
Addresses
Primary practice location
113 Country Club Dr NE
Concord, NC 28025-2935
Mailing address
113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904045 | Medicaid | NC | |
| NC2008 | Other | NC | EYE MED |
| 093U4 | Other | NC | BCBS OF NC |
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
- New England College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Eyecarecenter, O.D., P.a. | Optometrist | Current | Accepting new patients |
| C.V. Sikes,Jr. & R.B. Gotschalk PTR | Optometrist | Past | Accepting new patients |
Locations
6311 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 542-2844
113 Country Club Dr NE
Concord, NC 28025
Phone (704) 786-7600
819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020
Interoperability endpoints
- mbailey@direct.eyecare-partners.com
Organizations & group practices 4
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.
-
- Optometrist
- Cary, NC
- NPI 1417973546
-
- Optometrist
- Concord, NC
- NPI 1851344253
-
- Optometrist
- Fayetteville, NC
- NPI 1336876788
-
- Optometrist
- Sanford, NC
- NPI 1083768311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1811937865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 COUNTRY CLUB DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252935",
"telephone_number": "704-786-7600",
"fax_number": "704-792-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 COUNTRY CLUB DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252935",
"telephone_number": "704-786-7600",
"fax_number": "704-792-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904045",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "NC2008",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "093U4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.