Individual provider Active NPI

Darren C. Decker, O.D.

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1982890398
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2058 Issued in NC
Practice address
2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone
(336) 785-3486
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2058 NC Primary

Addresses

Primary practice location

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655

Mailing address

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

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
I20071220000698 NC Practitioner - Optometry 4082704598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince May 1, 2017 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince May 1, 2017 Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 28, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince May 1, 2017 Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 28, 2020 Accepting new patients

Locations

1575 NC Highway 66 S
Kernersville, NC 27284
Phone (336) 933-8514

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

5121 Reidsville Rd
Walkertown, NC 27051
Phone (336) 595-4588

4610 Country Club Rd
Winston Salem, NC 27104
Phone (336) 713-3325

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ddecker@direct.eyecare-partners.com
  • Direct secure messaging: ddecker2753675@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1982890398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275655",
            "telephone_number": "336-785-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275655",
            "telephone_number": "336-785-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "DARREN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.