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BUENA VISTA EYE PC
NPI 1720069693
Ophthalmology in Winston Salem, NC

Active since November 08, 2005
1214 REYNOLDA RD, SUITE A, WINSTON SALEM, NC 27104(336) 723-2555(336) 723-9007 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Buena Vista Eye Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUENA VISTA EYE PC (NPI 1720069693) is a healthcare organization registered as an ophthalmology in Winston Salem, North Carolina and active in the NPI registry since November 2005. The organization lists Amy Barta Wall, President, as its authorized official.

NPPES Registry Identity

NPI1720069693
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBUENA VISTA EYE PC
Location Address1214 REYNOLDA RD, SUITE AWinston Salem, NC 27104-1122
Mailing Address1214 Reynolda Rd, Suite AWinston Salem, NC 27104-1122 · (336) 723-2555 · Fax (336) 723-9007
Phone(336) 723-2555
Fax(336) 723-9007
Organization SubpartNo
Authorized OfficialAmy Barta WallPresident · (336) 723-2555
Enumeration DateNovember 8, 2005
Last NPPES UpdateNovember 3, 2010
✔ NPI 1720069693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 9800734
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1214 REYNOLDA RD, Winston Salem, NC 27104
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Other Identifiers 5

Medicare UPING87006
Other012T3NC · Bcbs
Medicare NSC4301550001NC
Medicaid89012T3NC
Medicare ID-Type Unspecified2259859ANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buena Vista Eye Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Buena Vista Eye PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Wall, M.D.
Ophthalmology
NPI 1922297654
1214 REYNOLDA RD SUITE A
Winston Salem, NC 27104
(336) 723-2555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buena Vista Eye PC's NPI number?

The NPI number for Buena Vista Eye PC is 1720069693. It was assigned to this organization in the NPPES registry on November 8, 2005.

Where is Buena Vista Eye PC located?

Buena Vista Eye PC is located at 1214 Reynolda Rd Suite A, Winston Salem, NC 27104. The listed phone number is (336) 723-2555.

What is Buena Vista Eye PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Buena Vista Eye PC enrolled in Medicare?

Yes. Buena Vista Eye PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Buena Vista Eye PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Buena Vista Eye PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Buena Vista Eye PC accept?

Health plans from Blue Cross and Blue Shield of NC list Buena Vista Eye PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Buena Vista Eye PC was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.