Individual provider Active NPI

Jennifer Eliska Butler, OD

  • Optometrist
  • Swansboro, NC
National Provider Identifier
1952976201
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2840 Issued in NC
Practice address
775 W Corbett Ave Ste 1
Swansboro, NC 28584-8563
Phone
(910) 326-3050
Fax
(610) 326-7088
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2840 NC Primary

Addresses

Primary practice location

775 W Corbett Ave Ste 1
Swansboro, NC 28584-8563

Mailing address

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

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
I20250327003915 NC Practitioner - Optometry 2163807876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2840NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Feb 20, 2025 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

315 Western Blvd
#A
Jacksonville, NC 28546
Phone (910) 353-1011

4130 Western Blvd
Jacksonville, NC 28546
Phone (910) 353-9200

2001 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-6900

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

775 W Corbett Ave
Ste 1
Swansboro, NC 28584
Phone (910) 326-3050

4107 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

Interoperability endpoints

  • Direct secure messaging: jenniferbutler@direct.eyecare-partners.com

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PA 71 clinicians

Practice addresses (Care Compare)

775 W Corbett Ave
Suite 1
Swansboro, NC 28584-8563
Phone (910) 326-3050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1952976201",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W CORBETT AVE STE 1",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848563",
            "telephone_number": "910-326-3050",
            "fax_number": "610-326-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JENNIFER",
        "middle_name": "ELISKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansboro, NC

Sources for this page

Verify at the official NPI Registry.