Dedra Ling, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2801 Issued in NC

Practice address

4130 Western Blvd
Jacksonville, NC 28546-6740

Phone

(910) 353-9200

Fax

(910) 353-5459

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Specialty

Optometry

Education

Nova Southeastern Univ College of Dental Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_ecc

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment Care Compare group NPD
• Roger a Otto O D P a

  • Optometrist
  • Key West, FL
  • NPI 1093909152
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Jacksonville, NC
  • NPI 1003861212
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1083341432
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1982836151",
    "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": "753200475",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466740",
            "telephone_number": "910-353-9200",
            "fax_number": "910-353-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404008",
            "country_code": "US",
            "telephone_number": "708-351-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LING",
        "first_name": "DEDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004474",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Smith Livingood, PHARMD
• Debra Lane Livingston-Green, NP
• Yesenia Margarita Llera, MS, LCMHC-A

• 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 Jun 26, 2024; 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.