Individual provider Active NPI

Michael Sutton Schilawski, OD

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1972811321
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2212 Issued in NC
Practice address
201 Racine Dr
Wilmington, NC 28403-8702
Phone
(910) 395-6050
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 2212 NC Primary

Addresses

Primary practice location

201 Racine Dr
Wilmington, NC 28403-8702

Mailing address

818B Pine Grove Dr
Wilmington, NC 28409-5600
Phone (910) 793-2010

Other practice location 1

818B Pine Grove Dr
Wilmington, NC 28409-5600
Phone (910) 793-2010

Other identifiers 2

IdentifierTypeStateIssuer
5916303MedicaidNC
0932POtherNCBCBS

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
I20101104000116 NC Practitioner - Optometry 3274727193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Racine Dr
Wilmington, NC 28403-8702
Phone (910) 395-6050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2212NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince May 23, 2016 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 23, 2016 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020

1031 Grandiflora Dr
Leland, NC 28451
Phone (910) 371-0540

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

2024 Cameron St
Raleigh, NC 27605
Phone (919) 862-2015

5615 S NC 41 Hwy
Ste 300
Wallace, NC 28466
Phone (910) 285-5050

1302 Brown St
Washington, NC 27889
Phone (252) 633-2901

5619 Carolina Beach Rd
Ste 110
Wilmington, NC 28412
Phone (910) 790-0212

3501 Oleander Dr
Ste 7
Wilmington, NC 28403
Phone (910) 254-9292

5619 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 790-0212

6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554

201 Racine Dr
Wilmington, NC 28403
Phone (910) 395-6050

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972811321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818B PINE GROVE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095600",
            "telephone_number": "910-793-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038702",
            "telephone_number": "910-395-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818B Pine Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284095600",
            "country_code": "US",
            "telephone_number": "910-793-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILAWSKI",
        "first_name": "MICHAEL",
        "middle_name": "SUTTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916303",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0932P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.