MR. DEXTER WAYNE STREET O.D. NPI 1962464156

NPI Information

  • NPI: 1962464156
  • Provider Name: MR. DEXTER WAYNE STREET, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 913 WORTH ST
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 786-8828

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NPI Details

MR. Dexter Wayne Street, O.D. is an optometrist in Mount Airy, NC with 42 years of experience. The provider is 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. MR. Dexter Wayne Street, O.D. NPI is 1962464156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:1984

The provider's business location address is:

913 WORTH ST
MOUNT AIRY, NC
ZIP 27030-459
Phone: (336) 786-8828
Fax: (336) 786-5977

The NPI 1962464156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 4/4/2006 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist1375NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12208005OTHERNORTH CAROLINAUNITED HEALTHCARE
22467236AMEDICARE PINNORTH CAROLINA
309878OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
47909878MEDICAIDNORTH CAROLINA
5410038739OTHERNORTH CAROLINARAILROAD MEDICARE
6T21682MEDICARE UPINNORTH CAROLINA
7431657OTHERVIRGINIAANTHEM
85481670001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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