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
6	CD6765	OTHER	NC	RR MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410032676	OTHER	NC	TG RRMCR
2	410032674	OTHER	NC	CG RRMCR
3	0204H	OTHER	NC	BCBS GRP #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	410049393	OTHER	NC	KC RRMCR

General Provider Information

NPI Number	:	1104874353
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	:	201 RACINE DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-8702
Country	:	US
Telephone Number	:	910-395-6050
Fax Number	:	910-794-2222

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

1205836525 — DR. DANIEL TURNEY BECK O.D.
Practice Location Address:

201 RACINE DR
WILMINGTON, NC
28403-8702

Practice Phone: 910-395-6050
Practice Fax:

1821099656 — DR. KELLY LYNNE CATINO O.D.
Practice Location Address:

201 RACINE DR
WILMINGTON, NC
28403-8702

Practice Phone: 910-395-6050
Practice Fax: 910-395-6692

1639157019 — ALICIA DONATONE OCCUPATIONAL THERAPI
Practice Location Address:

219 RACINE DR , SUITE C
WILMINGTON, NC
28403-8702

Practice Phone: 910-264-9233
Practice Fax: 910-392-3986

1386607133 — DR. CHRIS RANKIN GLENDENNING O.D.
Practice Location Address:

201 RACINE DR
WILMINGTON, NC
28403-8702

Practice Phone: 910-395-6050
Practice Fax: 910-794-2222

1992768758 — TRACEY MORETTE GLENDENNING O.D
Practice Location Address:

201 RACINE DR
WILMINGTON, NC
28403-8702

Practice Phone: 910-395-6050
Practice Fax: 910-794-2222

1679585475 — DR. SAFIA AZIZI D.M.D.
Practice Location Address:

215 RACINE DR , SUITE 102
WILMINGTON, NC
28403-8702

Practice Phone: 910-332-0687
Practice Fax: 910-332-0689

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.