MR. DEXTER WAYNE STREET O.D.
NPI 1962464156
Optometrist in Mount Airy, NC

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
913 WORTH ST, MOUNT AIRY, NC 27030(336) 786-8828(336) 786-5977 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Dexter Wayne Street O.d. NPPES

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

MR. DEXTER WAYNE STREET O.D. (NPI 1962464156) is an individual optometrist in Mount Airy, North Carolina, licensed in North Carolina (1375) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1984).

NPPES Registry Identity

NPI1962464156
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. DEXTER WAYNE STREETCredential: O.D.
Location Address913 WORTH STMount Airy, NC 27030-4459
Mailing Address913 Worth StMount Airy, NC 27030-4459 · (336) 786-8828 · Fax (336) 786-5977
Fax(336) 786-5977
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1984
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1962464156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 1375
Definition
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.
913 WORTH ST, Mount Airy, NC 27030

Other Identifiers 8

Other2208005NC · United Healthcare
Medicare PIN2467236ANC
Other09878NC · Blue Cross Blue Shield
Medicaid7909878NC
Other410038739NC · Railroad Medicare
Medicare UPINT21682NC
Other431657VA · Anthem
Medicare NSC5481670001NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dexter Wayne Street O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254542665
PECOS Enrollment IDI20110309000135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dexter Street reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
18 GRAYSON ST
Sparta, NC 28675
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services208 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dexter Street's NPI number?

The NPI number for Dexter Street is 1962464156. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Dexter Street located?

Dexter Street practices at 913 Worth St, Mount Airy, NC 27030. The listed phone number is (336) 786-8828.

What is Dexter Street's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dexter Street enrolled in Medicare?

Yes. Dexter Street is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dexter Street's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dexter Street reassigns Medicare benefits to Oliver Optometric Eye Care (Sparta, NC). The 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 Dexter Street's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dexter Street accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Dexter Street 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 Dexter Street was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.