Individual provider Active NPI

Allison Douglas Lyerly, OD

  • Optometrist
  • Clemmons, NC
National Provider Identifier
1891121091
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2341 Issued in NC
Practice address
8435 Maeve CT
Clemmons, NC 27012-8845
Phone
(336) 712-0354
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2341 NC Primary

Addresses

Primary practice location

8435 Maeve CT
Clemmons, NC 27012-8845

Mailing address

5380 US Highway 158
Ste 100
Advance, NC 27006-6974
Phone (336) 712-0354

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
I20140213000405 NC Practitioner - Optometry 5799914875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Center for Eye Care OD PAGroup PAC ID 7618863846, 6 clinicians

Practice addresses (Care Compare)

5380 US Hwy 158
Suite 100
Advance, NC 27006-6974
Phone (336) 940-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Center for Eye Care, OD PA Optometrist CurrentSince Dec 3, 2013 Accepting new patients

Locations

5380 US Highway 158
Ste 100
Advance, NC 27006
Phone (336) 940-2015

6721 Shallowford Rd
Ste A
Lewisville, NC 27023
Phone (336) 946-0203

602 S Renfro St
Mount Airy, NC 27030
Phone (336) 789-9031

Interoperability endpoints

  • Direct secure messaging: allison.lyerly@direct.revolutionehr.com

Organizations & group practices 1

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1891121091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 US HIGHWAY 158",
            "address_2": "STE 100",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066974",
            "telephone_number": "336-712-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 MAEVE CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128845",
            "telephone_number": "336-712-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYERLY",
        "first_name": "ALLISON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.