MEDICARE: MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD6766	OTHER	NC	RR MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0154K	OTHER	NC	BCBS GRP #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205884467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	1031 GRANDIFLORA DR
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451-7453
Country	:	US
Telephone Number	:	910-371-0540
Fax Number	:	910-371-9530

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE HEALEY
Credential	:
Telephone Number	:	703-847-8899

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/29/2022

Similar Medicare Providers

1477536167 — DR. JOHN CHRISTOPHER ROWLAND MD
Practice Location Address:

1035 GRANDIFLORA DR , SUITE 102
LELAND, NC
28451-7453

Practice Phone: 910-371-3212
Practice Fax: 910-371-3210

1629036835 — DR. ERIC CHRISTOPHER BRYANT OD
Practice Location Address:

1031 GRANDIFLORA DR
LELAND, NC
28451-7453

Practice Phone: 910-371-0540
Practice Fax: 910-371-2463

1720001399 — DEBORAH A HAYDEN O.D.
Practice Location Address:

1031 GRANDIFLORA DR
LELAND, NC
28451-7453

Practice Phone: 910-371-0540
Practice Fax:

1669513677 — DR. AMANDA B HENDRIX O.D.
Practice Location Address:

1031 GRANDIFLORA DR
LELAND, NC
28451-7453

Practice Phone: 910-371-0540
Practice Fax:

1457529208 — WALGREEN CO
Practice Location Address:

1019 GRANDIFLORA DR
LELAND, NC
28451-7453

Practice Phone: 910-371-0233
Practice Fax: 910-371-0188

1053649616 — DR. MICHAEL ROBINSON PHARM D
Practice Location Address:

1019 GRANDIFLORA DR
LELAND, NC
28451-7453

Practice Phone: 910-371-0233
Practice Fax: 910-371-0188

Directions to “MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.