Individual provider Active NPI

Jonathan Nientzu Feng

  • Ophthalmology Physician
  • Greenville, NC
National Provider Identifier
1821450073
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2020-02742 Issued in NC
Practice address
301 Bowman Gray Dr
Greenville, NC 27834-7204
Phone
(252) 758-5800
NPI assigned
Mar 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2020-02742 NC Primary

Addresses

Primary practice location

301 Bowman Gray Dr
Greenville, NC 27834-7204

Mailing address

301 Bowman Gray Dr
Greenville, NC 27834-7204

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200810001764 NC Practitioner - Ophthalmology 1153619390 Reassigns benefits to 2 organizations
I20220607000894 NH Practitioner - Ophthalmology 1153619390

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Eye Associates PLLCGroup PAC ID 8325410343, 2 clinicians

Practice addresses (Care Compare)

300 Ashville Ave
Cary, NC 27518-8682
Phone (919) 568-1782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
White Eye Associates PA Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Apex Eye Associates, PLLC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients

Locations

300 Ashville Ave
Ste 280
Cary, NC 27518
Phone (919) 568-1782

301 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 758-5800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1821450073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347204",
            "telephone_number": "252-758-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENG",
        "first_name": "JONATHAN",
        "middle_name": "NIENTZU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2020-02742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.