Individual provider Active NPI

Natalie Terryberry

  • Optometrist
  • Southern Shores, NC
National Provider Identifier
1881390847
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2770 Issued in NC
Practice address
5569 N Croatan Hwy
Southern Shores, NC 27949-3996
Phone
(252) 441-2000
Fax
(252) 441-1834
NPI assigned
Feb 1, 2023
Last updated
Sep 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003298 VA
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 2770 NC Primary

Addresses

Primary practice location

5569 N Croatan Hwy
Southern Shores, NC 27949-3996

Mailing address

PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393

Other practice location 1

1813 W Ehringhaus St
Elizabeth City, NC 27909-4555
Phone (252) 333-1155

Other practice location 2

612 Hilltop West Shopping Ctr
Virginia Beach, VA 23451-6139
Phone (757) 491-1977

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002811 NC Practitioner - Optometry 0840652418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

5569 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 441-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Oct 3, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Oct 3, 2023 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

1813 W Ehringhaus St
Elizabeth Cty, NC 27909
Phone (252) 333-1155

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

5569 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-8777

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, 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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1881390847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 N CROATAN HWY",
            "city": "SOUTHERN SHORES",
            "state": "NC",
            "postal_code": "279493996",
            "telephone_number": "252-441-2000",
            "fax_number": "252-441-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 W Ehringhaus St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094555",
            "country_code": "US",
            "telephone_number": "252-333-1155",
            "fax_number": "252-333-1796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Hilltop West Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234516139",
            "country_code": "US",
            "telephone_number": "757-491-1977",
            "fax_number": "757-491-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRYBERRY",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003298",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Shores, NC

Sources for this page

Verify at the official NPI Registry.