| Eyecarecenter Od Pa | |
|
720 Se Maynard Rd, Cary, NC 27511-5720 | |
| (636) 200-4393 | |
| (919) 467-5939 |
| Full Name | Eyecarecenter Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 720 Se Maynard Rd, Cary, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417973546 | NPI | - | NPPES |
| CA8262 | Other | NC | RR MEDICARE GROUP |
| 09137 | Other | NC | BCBSNC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kevin Roger Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528069234 PECOS PAC ID: 3476450370 Enrollment ID: I20031218000125 |
| Provider Name | Kathleen V Holland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790733384 PECOS PAC ID: 0042104119 Enrollment ID: I20040210000631 |
| Provider Name | Stephanie L Whitacre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609871854 PECOS PAC ID: 2567357056 Enrollment ID: I20040216000154 |
| Provider Name | Ryan E Snipes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992867402 PECOS PAC ID: 7618954645 Enrollment ID: I20040707000581 |
| Provider Name | Rhonda K Schrader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033259643 PECOS PAC ID: 4486622081 Enrollment ID: I20040921001268 |
| Provider Name | Jeffrey R Sutton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255526232 PECOS PAC ID: 6800845959 Enrollment ID: I20050124000594 |
| Provider Name | Heather C Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750380796 PECOS PAC ID: 4385696632 Enrollment ID: I20050215000227 |
| Provider Name | Cynthia C Rohm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891716148 PECOS PAC ID: 8527012202 Enrollment ID: I20050304000746 |
| Provider Name | Joel C Swaim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053320036 PECOS PAC ID: 9931155066 Enrollment ID: I20050329000383 |
| Provider Name | Shirin Esmail |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124209671 PECOS PAC ID: 6103864228 Enrollment ID: I20050420000180 |
| Provider Name | Paresh A Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780626747 PECOS PAC ID: 7315985975 Enrollment ID: I20050422001117 |
| Provider Name | Teri D Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285676262 PECOS PAC ID: 2567401854 Enrollment ID: I20050426001400 |
| Provider Name | Kenneth A Gregg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235192071 PECOS PAC ID: 5092619544 Enrollment ID: I20050628000861 |
| Provider Name | Alisa D Strickland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548217516 PECOS PAC ID: 2567480031 Enrollment ID: I20051103000770 |
| Provider Name | Allan Ray Adkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285686857 PECOS PAC ID: 4688635857 Enrollment ID: I20051110000772 |
| Provider Name | Paul W Moser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013993229 PECOS PAC ID: 8325061302 Enrollment ID: I20060104000958 |
| Provider Name | Lisa M Try |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891759924 PECOS PAC ID: 8628081718 Enrollment ID: I20060712000181 |
| Provider Name | Matthew J Bailey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811937865 PECOS PAC ID: 0446263024 Enrollment ID: I20060727000071 |
| Provider Name | Stacey S Hutto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447234711 PECOS PAC ID: 4486667870 Enrollment ID: I20060802000150 |
| Provider Name | Lisa E Graybeal Ziebell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750325478 PECOS PAC ID: 7012008444 Enrollment ID: I20070814000321 |
| Provider Name | David Weitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306861588 PECOS PAC ID: 9739271057 Enrollment ID: I20070924000697 |
| Provider Name | Donavon R Cloninger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427073410 PECOS PAC ID: 2466544788 Enrollment ID: I20071025000196 |
| Provider Name | Angela E Macdonald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952405417 PECOS PAC ID: 0749377018 Enrollment ID: I20071211000503 |
| Provider Name | Darren C Decker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982890398 PECOS PAC ID: 4082704598 Enrollment ID: I20071220000698 |
| Provider Name | Scott O Mcdonald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912994799 PECOS PAC ID: 4284724667 Enrollment ID: I20080103000198 |
| Provider Name | Frank E Roofe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427057868 PECOS PAC ID: 3375623150 Enrollment ID: I20080107000224 |
| Provider Name | Brittani Carver-schemper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871787671 PECOS PAC ID: 9739261942 Enrollment ID: I20080128000183 |
| Provider Name | Keith Poindexter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427060201 PECOS PAC ID: 6305928474 Enrollment ID: I20080128000808 |
| Provider Name | Joel Penegar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598944845 PECOS PAC ID: 7517049430 Enrollment ID: I20080131000304 |
| Provider Name | Maria S Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518994060 PECOS PAC ID: 0244212322 Enrollment ID: I20080326000606 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20080813000530 |
| Provider Name | Kathryn E Manton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083861645 PECOS PAC ID: 2567521404 Enrollment ID: I20081106000391 |
| Provider Name | Stacy M Schorner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932375367 PECOS PAC ID: 3971665522 Enrollment ID: I20081216000664 |
| Provider Name | Willane A Wylie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174747836 PECOS PAC ID: 4183770506 Enrollment ID: I20090925000253 |
| Provider Name | Jessica R Oneil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366778979 PECOS PAC ID: 9931249307 Enrollment ID: I20091215000542 |
| Provider Name | Keel M Godwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861441834 PECOS PAC ID: 1052451283 Enrollment ID: I20091221000219 |
| Provider Name | Rick Scott Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649241753 PECOS PAC ID: 2567507320 Enrollment ID: I20100304000115 |
| Provider Name | Michael C Baughan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275576282 PECOS PAC ID: 1850426628 Enrollment ID: I20100318000322 |
| Provider Name | Thomas A Akers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124090170 PECOS PAC ID: 7214062009 Enrollment ID: I20100318000402 |
| Provider Name | Patricia Stanford Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235100496 PECOS PAC ID: 6406981034 Enrollment ID: I20100320000206 |
| Provider Name | Charles Louis Balch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376586867 PECOS PAC ID: 4688700651 Enrollment ID: I20100329000947 |
| Provider Name | David Randall Braswell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740223866 PECOS PAC ID: 8820124845 Enrollment ID: I20100330000262 |
| Provider Name | Van Martin Teague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336182823 PECOS PAC ID: 1951437466 Enrollment ID: I20100408000459 |
| Provider Name | Michael Douglas Farris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619971397 PECOS PAC ID: 6507993060 Enrollment ID: I20100415000209 |
| Provider Name | Alison A Bailey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043214844 PECOS PAC ID: 8022145424 Enrollment ID: I20100415000902 |
| Provider Name | Patrick Michael Dooley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275571051 PECOS PAC ID: 0143357053 Enrollment ID: I20100426000258 |
| Provider Name | Richard Dennis Ayuso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508800178 PECOS PAC ID: 8022146802 Enrollment ID: I20100514000870 |
| Provider Name | Daniel L Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407812530 PECOS PAC ID: 6608842463 Enrollment ID: I20100526000688 |
| Provider Name | Holly Adams Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932425402 PECOS PAC ID: 9739219312 Enrollment ID: I20100608000489 |
| Provider Name | James D Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285639526 PECOS PAC ID: 6305880287 Enrollment ID: I20100724000032 |
| Provider Name | Rabia Y Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164671145 PECOS PAC ID: 5193858439 Enrollment ID: I20100806000174 |
| Provider Name | Tina M Siegel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639137045 PECOS PAC ID: 4284654302 Enrollment ID: I20100807000068 |
| Provider Name | Lady B Aycock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639144462 PECOS PAC ID: 4981707791 Enrollment ID: I20100817000697 |
| Provider Name | Shemeeka L Mcfadden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003079518 PECOS PAC ID: 9133243553 Enrollment ID: I20100907000884 |
| Provider Name | Thomas E Dunlap |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295834935 PECOS PAC ID: 7911891825 Enrollment ID: I20100908000991 |
| Provider Name | Janice B Dunlap |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952402182 PECOS PAC ID: 9739204579 Enrollment ID: I20100916000475 |
| Provider Name | John S Yoakum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568482271 PECOS PAC ID: 8224154570 Enrollment ID: I20100924000124 |
| Provider Name | Marguerite R Gross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629027651 PECOS PAC ID: 7911190020 Enrollment ID: I20101021000804 |
| Provider Name | David T Hoyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871591750 PECOS PAC ID: 1850508755 Enrollment ID: I20101027001360 |
| Provider Name | Eileen Marie Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598731341 PECOS PAC ID: 4082808159 Enrollment ID: I20101102001332 |
| Provider Name | Delisha A Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760455851 PECOS PAC ID: 8123212057 Enrollment ID: I20101104000317 |
| Provider Name | Kelly L Reid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861415424 PECOS PAC ID: 2567650922 Enrollment ID: I20101229000456 |
| Provider Name | Charles L Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760555189 PECOS PAC ID: 3577752161 Enrollment ID: I20110113000187 |
| Provider Name | Robert B. Gotschalk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811945827 PECOS PAC ID: 7810001013 Enrollment ID: I20110919000425 |
| Provider Name | Charles Van Sikes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619925724 PECOS PAC ID: 9436263621 Enrollment ID: I20111010000143 |
| Provider Name | Carol Aune |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629359666 PECOS PAC ID: 7012182793 Enrollment ID: I20111207000740 |
| Provider Name | Rex Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699793067 PECOS PAC ID: 1951415140 Enrollment ID: I20120302000571 |
| Provider Name | David H Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578582383 PECOS PAC ID: 7810978996 Enrollment ID: I20120302000611 |
| Provider Name | Carrie S Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013052596 PECOS PAC ID: 6204940018 Enrollment ID: I20120302000637 |
| Provider Name | John M Burke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700888492 PECOS PAC ID: 1254312333 Enrollment ID: I20120305000540 |
| Provider Name | Michael D Baldinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255606596 PECOS PAC ID: 4789846049 Enrollment ID: I20120502000426 |
| Provider Name | Paul D Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053397968 PECOS PAC ID: 1850405176 Enrollment ID: I20120508000005 |
| Provider Name | Amy Sugarman Sweeney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013297654 PECOS PAC ID: 2062685522 Enrollment ID: I20120723000160 |
| Provider Name | William C Holland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710937032 PECOS PAC ID: 3678720653 Enrollment ID: I20121011000776 |
| Provider Name | Hilary B Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629328828 PECOS PAC ID: 6406007343 Enrollment ID: I20121127000281 |
| Provider Name | Duy Q Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407089949 PECOS PAC ID: 3173769569 Enrollment ID: I20130409000001 |
| Provider Name | Eric James Ablott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356629026 PECOS PAC ID: 4082884192 Enrollment ID: I20131010002033 |
| Provider Name | Mindie Tiffany Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881933927 PECOS PAC ID: 0446485916 Enrollment ID: I20131109000201 |
| Provider Name | Truc Ly N Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285986927 PECOS PAC ID: 5597992826 Enrollment ID: I20131212000936 |
| Provider Name | Leslie T Dunn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649344599 PECOS PAC ID: 6709080062 Enrollment ID: I20131214000137 |
| Provider Name | Thuyvan Vo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982032959 PECOS PAC ID: 6709014228 Enrollment ID: I20140108000906 |
| Provider Name | Tyler Christopher Groce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245669969 PECOS PAC ID: 1052540317 Enrollment ID: I20140207000087 |
| Provider Name | Thomas Blackburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255687554 PECOS PAC ID: 4981854536 Enrollment ID: I20140508001842 |
| Provider Name | Anika S. Goodwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285672345 PECOS PAC ID: 6204879489 Enrollment ID: I20140908000563 |
| Provider Name | Chonda E Washington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992927818 PECOS PAC ID: 5698994218 Enrollment ID: I20140915000628 |
| Provider Name | Nicholas Edward Bem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164823142 PECOS PAC ID: 1951523018 Enrollment ID: I20141105002285 |
| Provider Name | Carrie R Turley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457597676 PECOS PAC ID: 5597928192 Enrollment ID: I20141205000721 |
| Provider Name | Zophia Larissa Rendon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215372065 PECOS PAC ID: 5193049450 Enrollment ID: I20150115002066 |
| Provider Name | Rachel Miller Vick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629482617 PECOS PAC ID: 7911221205 Enrollment ID: I20150521002800 |
| Provider Name | Matthew Ryan Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548654551 PECOS PAC ID: 8729309356 Enrollment ID: I20150608000896 |
| Provider Name | Sharhonda Bell Harrill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295129773 PECOS PAC ID: 3971824467 Enrollment ID: I20150609002671 |
| Provider Name | Sita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700207511 PECOS PAC ID: 7517278831 Enrollment ID: I20150612000932 |
| Provider Name | Lindsay L Totten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083044515 PECOS PAC ID: 7719297555 Enrollment ID: I20151109000150 |
| Provider Name | Michael A Samuels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164890521 PECOS PAC ID: 8729388061 Enrollment ID: I20151118001920 |
| Provider Name | Natalie R Wieand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265586309 PECOS PAC ID: 6406150028 Enrollment ID: I20160202001665 |
| Provider Name | Sharon Luong Barber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386069599 PECOS PAC ID: 8022313675 Enrollment ID: I20160219001432 |
| Provider Name | Brittany B Tatum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265894133 PECOS PAC ID: 9133412406 Enrollment ID: I20160725000648 |
| Provider Name | Kevin Hart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457745838 PECOS PAC ID: 5799064390 Enrollment ID: I20161123001011 |
| Provider Name | Charlotte Ingle Ablott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316382773 PECOS PAC ID: 5890075030 Enrollment ID: I20161206001276 |
| Provider Name | Andrew J Loudon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548663958 PECOS PAC ID: 1254606007 Enrollment ID: I20171004003595 |
| Provider Name | Stephanie Corbin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124545603 PECOS PAC ID: 6406113760 Enrollment ID: I20171122001151 |
| Provider Name | Chaz E. Truesdale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770025298 PECOS PAC ID: 0345507430 Enrollment ID: I20171128000866 |
| Provider Name | Mark Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710491444 PECOS PAC ID: 7618239906 Enrollment ID: I20180327000231 |
| Provider Name | Cameron Conrad Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598168445 PECOS PAC ID: 0143578757 Enrollment ID: I20180730001604 |
| Provider Name | Daniel Patrick O'dowd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588146492 PECOS PAC ID: 9739423575 Enrollment ID: I20181204003758 |
| Provider Name | Ryan Wirkus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265927040 PECOS PAC ID: 9638428477 Enrollment ID: I20190422001675 |
| Provider Name | Amanda Marie Culler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902454937 PECOS PAC ID: 7618208802 Enrollment ID: I20191021000884 |
| Provider Name | Shraeya Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972096345 PECOS PAC ID: 7416380415 Enrollment ID: I20191205001107 |
| Provider Name | Amy Buchanan Keene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114295789 PECOS PAC ID: 9133381171 Enrollment ID: I20200129000025 |
| Provider Name | Melissa Cuan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679913446 PECOS PAC ID: 6002172327 Enrollment ID: I20200408000949 |
| Provider Name | David Wenz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467531590 PECOS PAC ID: 2567419179 Enrollment ID: I20200608000608 |
| Provider Name | Destiny Cherelle Mcduffie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740875293 PECOS PAC ID: 0648687921 Enrollment ID: I20210405000025 |
| Provider Name | Elizabeth Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992367106 PECOS PAC ID: 1658798293 Enrollment ID: I20210614000191 |
| Provider Name | Vikarma Wayne Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811559024 PECOS PAC ID: 9830513647 Enrollment ID: I20210616000347 |
| Provider Name | Hannah Elizabeth Covey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215604186 PECOS PAC ID: 9537565098 Enrollment ID: I20210908002497 |
| Provider Name | Emily Scully |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134738610 PECOS PAC ID: 5799182630 Enrollment ID: I20210921000573 |
| Provider Name | Saidivya Komma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447888979 PECOS PAC ID: 6002213444 Enrollment ID: I20210927003324 |
| Provider Name | Joo Choe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417974114 PECOS PAC ID: 5496766362 Enrollment ID: I20211102000155 |
| Provider Name | Greyson Ramos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972272474 PECOS PAC ID: 3274923339 Enrollment ID: I20211203000036 |
| Provider Name | Marissa Anne Aldrich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629304191 PECOS PAC ID: 2961659776 Enrollment ID: I20220705002540 |
| Provider Name | Roshani Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134606916 PECOS PAC ID: 6507116621 Enrollment ID: I20220928002034 |
| Provider Name | Prital Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033732649 PECOS PAC ID: 3870968142 Enrollment ID: I20230419000989 |
| Provider Name | Natalie Terryberry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881390847 PECOS PAC ID: 0840652418 Enrollment ID: I20231116002811 |
| Provider Name | Cam Tieu Ngo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679261499 PECOS PAC ID: 6103265848 Enrollment ID: I20240415002537 |
| Provider Name | Travis Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821863259 PECOS PAC ID: 7719338011 Enrollment ID: I20240416002007 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecarecenter Od Pa Po Box 207261, Dallas, TX 75320-7261 Ph: (636) 200-4393 | Eyecarecenter Od Pa 720 Se Maynard Rd, Cary, NC 27511-5720 Ph: (636) 200-4393 |
Myeyedr Optometrist Medicare: Medicare Enrolled Practice Location: 1975 High House Rd, Cary, NC 27519 Phone: 919-461-0771 Fax: 919-481-0645 | |
Dr. Lauren Walls Yao, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1212 Parkside Main St, Cary, NC 27519 Phone: 919-883-9987 | |
Dr. Kathryn Elizabeth Manton, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 720 Se Maynard Rd, Cary, NC 27511 Phone: 919-467-0959 | |
Dr. Megan Leigh Dantini, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Nw Maynard Rd, Suite 120, Cary, NC 27513 Phone: 919-467-9834 Fax: 919-466-0045 | |
Dr. Monica Ma, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7250 O'kelly Chapel Road, Ste 200, Cary, NC 27519 Phone: 919-883-9987 Fax: 919-887-6381 | |
Preston Optometry Center, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 258 Towne Village Dr, Cary, NC 27513 Phone: 919-467-4657 Fax: 919-462-0199 | |
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2075 Renaissance Park Pl, Cary, NC 27513 Phone: 919-655-0625 Fax: 919-655-0627 |