Tracey Morette Glendenning, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

1480 Issued in NC

Practice address

201 Racine Dr
Wilmington, NC 28403-8702

Phone

(910) 395-6050

Fax

(910) 794-2222

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Tracey Ann Morette Former name

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of North Carolina PLLC

  • Optometrist
  • Greenville, NC
  • NPI 1609824333
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Wilmington, NC
  • NPI 1114320298
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1992768758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "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",
            "fax_number": "910-794-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENDENNING",
        "first_name": "TRACEY",
        "middle_name": "MORETTE",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL #",
            "identifier": "410032676",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "0904G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890904G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL #",
            "identifier": "410048231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "MORETTE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James McKay Glasgow, LCSW, LCAS
• Josie Glasgow
• Glen Meade OB-GYN PA
• Glencare Assisted Living, Inc Dba
• Chris Rankin Glendenning, O.D.
• Ivey Glendy, AUD
• Adam Daniel Glener, MD
• Glenn W Weckel DC Inc
• Meredith Taylor Edgerton Glenn, D.D.S.
• Scott Jason Glickauf, LAT ATC

• Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.