Jennifer Lyerly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2241 Issued in NC

Practice address

1004 Lower Shiloh Way Ste 105
Morrisville, NC 27560-5431

Phone

(919) 472-4070

Fax

(919) 472-4070

NPI assigned

Aug 30, 2011

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Truevision Eye Care OD PAGroup PAC ID 6204074362, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Truevision Eye Care OD PA

  • Optometrist
  • Morrisville, NC
  • NPI 1164763975
  Medicare reassignment Care Compare group NPD
• Aberdeen Eye Care Associates, OD PLLC

  dba Eye Care Associates

  • Optometrist
  • Aberdeen, NC
  • NPI 1891977237
  NPD (past)
• Eye Care Associates OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1528400223
  NPD (past)
• Eye Care Associates OD PA

  dba Eye Care Associates

  • Optometrist
  • Raleigh, NC
  • NPI 1790937720
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1831470350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LOWER SHILOH WAY STE 105",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605431",
            "telephone_number": "919-472-4070",
            "fax_number": "919-472-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LOWER SHILOH WAY STE 105",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605431",
            "telephone_number": "919-472-4070",
            "fax_number": "919-472-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Leesville Rd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276137546",
            "country_code": "US",
            "telephone_number": "919-629-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYERLY",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlene Lo Greco, LCMHC, LCAS
• Trisha L Lobo, PHARMD
• Travis Michael Logue, PHARMD
• Noemie Long, DC
• Lucas J. Nazario-Correa, D.M.D., P.a. (Smile Forever Family Dentistry)
• Audrey Holmes Lynge, LPC
• Lynx Monitoring LLC (Lynx Transportation)
• Meghan Mac Neal, MS, CGC
• Monica Macchiarulo, ATC
• Madison's Way Transportation

• Optometrist in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.

Verify at the official NPI Registry.