Amber Parham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2462 Issued in NC

Practice address

1345 Western Blvd Ste 120B
Jacksonville, NC 28546-7627

Phone

(910) 376-8229

Fax

(910) 937-0020

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Optometry PLLCGroup PAC ID 7517100647, 5 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 and National Provider Directory roles.

• Lane Optometry, PLLC

  • Optometrist
  • Jacksonville, NC
  • NPI 1356628283
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1912357708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WESTERN BLVD STE 120B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467627",
            "telephone_number": "910-376-8229",
            "fax_number": "910-937-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WESTERN BLVD STE 120B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467627",
            "telephone_number": "910-376-8229",
            "fax_number": "910-937-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Birch St",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472529",
            "country_code": "US",
            "telephone_number": "910-451-5249",
            "fax_number": "910-451-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "AMBER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palms Wellness Center Inc
• Luis Palomino, MD
• Chasity Pappas, ACNP
• Jamie Paradysz
• Paragon Outpatient Rehabilitation Services, LLC
• Madia Paris, MS, OTR/L
• Monireh Parish, MBBS
• Blaine A. Parker, P.T.A.
• John Wesley Parker II, D.D.S.
• Kelsi Parker, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.