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KERNERSVILLE EYE SURGEONS, PC
NPI 1750601803
Ophthalmology in Kernersville, NC

Active since June 10, 2010CLIA 34D2231548 · Waiver
210 N MAIN ST STE 144, KERNERSVILLE, NC 27284(336) 992-9637(336) 992-9638 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kernersville Eye Surgeons, Pc NPPES

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

KERNERSVILLE EYE SURGEONS, PC (NPI 1750601803) is a healthcare organization registered as an ophthalmology in Kernersville, North Carolina and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Patrick A Hageman, President, as its authorized official.

NPPES Registry Identity

NPI1750601803
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameKERNERSVILLE EYE SURGEONS, PC
Location Address210 N MAIN ST STE 144Kernersville, NC 27284-4003
Mailing Address210 N Main St Ste 144Kernersville, NC 27284-4003 · (336) 992-9637 · Fax (336) 992-9638
Phone(336) 992-9637
Fax(336) 992-9638
Organization SubpartNo
Authorized OfficialPatrick A HagemanPresident · (336) 992-9637
Enumeration DateJune 10, 2010
Last NPPES UpdateMarch 2, 2024
NPPES CertifiedMarch 2, 2024
✔ NPI 1750601803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
Also ListedSurgeryTaxonomy 208600000X
210 N MAIN ST STE 144, Kernersville, NC 27284
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kernersville Eye Surgeons, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Patrick Hageman, M.D.
Ophthalmology
NPI 1629059860
210 N MAIN ST STE 144
Kernersville, NC 27284
(336) 992-9637
✔ PECOS✔ Accepts MedicareSame address
Kirk Murdock, MD
Ophthalmology
NPI 1164426730
210 N MAIN ST SUITE 144
Kernersville, NC 27284
(336) 992-9637
✔ PECOS✔ Accepts MedicareSame address
Renn Lovett, MD
Ophthalmology
NPI 1356082531
210 N MAIN ST STE 144
Kernersville, NC 27284
(336) 992-9637
✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2231548

Kernersville Eye Surgeons, PC · Kernersville, NC
Active · expires Aug 3, 2027
CLIA Number34D2231548
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorPatrick Hageman
Laboratory Phone(336) 992-9637
Laboratory LocationKernersville Eye Surgeons, PC210 N Main Street Suite 144, Kernersville, NC 27284
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kernersville Eye Surgeons, PC's NPI number?

The NPI number for Kernersville Eye Surgeons, PC is 1750601803. It was assigned to this organization in the NPPES registry on June 10, 2010.

Where is Kernersville Eye Surgeons, PC located?

Kernersville Eye Surgeons, PC is located at 210 N Main St Ste 144, Kernersville, NC 27284. The listed phone number is (336) 992-9637.

What is Kernersville Eye Surgeons, PC's specialty?

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

Is Kernersville Eye Surgeons, PC enrolled in Medicare?

Yes. Kernersville Eye Surgeons, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kernersville Eye Surgeons, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Kernersville Eye Surgeons, 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kernersville Eye Surgeons, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2231548) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kernersville Eye Surgeons, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Kernersville Eye Surgeons, 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 Kernersville Eye Surgeons, PC was last updated on March 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.