MR. DEXTER WAYNE STREET (NPI# 1962464156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962464156 |
| Entity Type | Individual |
| Full Name | MR. DEXTER WAYNE STREET |
| Credential | O.D. |
| Practice Address |
913 Worth St Mount Airy NC 27030-4459 |
| Practice Telephone | 3367868828 |
| Practice Fax Number | 3367865977 |
| Mailing Telephone | 3367868828 |
| Mailing Fax Number | 3367865977 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1375 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 410038739 | 01 |
| VA | ANTHEM | 431657 | 01 |
| NC | 7909878 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 09878 | 01 |
| NC | UNITED HEALTHCARE | 2208005 | 01 |
| Street Address |
913 WORTH ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457868655 | Myeyedr Optometry of Maryland, LLC | Optometrist | 1311 S Main St Ste 104, Mount Airy, MD 21771-5451 | 2018-01-09 |
| 1932431681 | Solo Eye Care LLC | Optometrist | 1311 S Main St., Suite 201, Mount Airy, MD 21771-5447 | 2010-02-05 |
| 1477512648 | Harvey Earl Magaziner | Optometrist | 1517 Ridgeside Dr, Mount Airy, MD 21771-5280 | 2006-03-17 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1851373252 | Michael Clark | Optometrist | 602 S Renfro St, Mount Airy, NC 27030-4742 | 2005-11-19 |
| 1881691319 | David Ray Wells | Optometrist | 906 W Pine St, Suite 200, Mount Airy, NC 27030-3599 | 2005-06-30 |
| 1154939551 | Tony Phillips | Optometrist | 1311 S Main St Ste 104, Mount Airy, MD 21771-5451 | 2020-07-21 |
| 1588970743 | Melanie C Rennie | Optometrist | 1517 Ridgeside Dr, Mount Airy, MD 21771-5285 | 2010-08-26 |
| 1780813238 | Real Gray LLC | Optometrist | 305 S Main St, Mount Airy, MD 21771-5397 | 2009-07-06 |
| 1750556668 | Mount Airy Medical Eye Center | Optometrist | 1001 Twin Arch Rd, Mount Airy, MD 21771-4138 | 2008-04-23 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MR. DEXTER WAYNE STREET.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.