Individual provider Active NPI

Mark Thomas Shapiro, MD

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1861494437
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20509 Issued in NC
Practice address
1311 N Elm St
Greensboro, NC 27401-6305
Phone
(336) 378-9993
Fax
(336) 274-5884
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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 20509 NC Primary

Addresses

Primary practice location

1311 N Elm St
Greensboro, NC 27401-6305

Mailing address

1311 N Elm St
Greensboro, NC 27401-6305
Phone (336) 378-9993

Other identifiers 3

IdentifierTypeStateIssuer
180025125OtherNCRAILROAD MEDICARE
890249UMedicaidNC
AS7656068OtherNCDR.MTS,MD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110422000447 NC Practitioner - Ophthalmology 5799745782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Eye Care PA 12 clinicians

Practice addresses (Care Compare)

1016 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 228-0254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20509NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Eye Care, PA Ophthalmology CurrentSince Mar 5, 2025 Accepting new patients
Alamance Eye Care, PA Ophthalmology CurrentSince Mar 5, 2025 Accepting new patients
Shapiro Eye Care, P.a. Past Accepting new patients

Locations

1016 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 228-0254

3344 S Church St
Burlington, NC 27215
Phone (336) 395-8233

102 Medical Park Dr
Ste B
Mebane, NC 27302
Phone (919) 304-3937

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1861494437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016305",
            "telephone_number": "336-378-9993",
            "fax_number": "336-274-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016305",
            "telephone_number": "336-378-9993",
            "fax_number": "336-274-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "20509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180025125",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890249U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.MTS,MD",
            "identifier": "AS7656068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.