Active NPI
Frederic A Munz, O.D.
- Optometrist
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 955
- Practice address
- 12205 Capital Blvd
Wake Forest, NC 27587-6200 - Phone
- (919) 554-2020
- Fax
- (919) 556-4047
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601000817 | VA | |
| Optometrist | 152W00000X | 955 | NC | Primary |
Addresses
Primary practice location
12205 Capital Blvd
Wake Forest, NC 27587-6200
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909640 | Medicaid | NC | |
| 09640 | Other | NC | BCBS PROV # |
| 540004216 | Other | NC | RR MEDICARE INDIVIDUAL # |
Other names 1
- Ric Munz
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100811000151 | NC | Practitioner - Optometry | 6002710555 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601000817 | VA | MD | Optometrist |
| 0955 | NC | MD | Specialist |
| 955 | NC | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
Locations
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
3905 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-6040
14460 Falls of Neuse Rd
Ste 125
Raleigh, NC 27614
Phone (919) 847-4665
901 N Winstead Ave
Ste 190
Rocky Mount, NC 27804
Phone (252) 355-7301
110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227
12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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.
-
- Optometrist
- Kannapolis, NC
- NPI 1194152017
-
- Optometrist
- Monroe, NC
- NPI 1407737182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1912908872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12205 CAPITAL BLVD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876200",
"telephone_number": "919-554-2020",
"fax_number": "919-556-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNZ",
"first_name": "FREDERIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601000817",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909640",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "09640",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL #",
"identifier": "540004216",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RIC",
"last_name": "MUNZ",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wake Forest, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.