Obx Optix Optometric, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OBX OPTIX OPTOMETRIC, PLLC

Practice address

5569 N Croatan Hwy
Kitty Hawk, NC 27949-3996

Phone

(252) 441-2000

Fax

(252) 441-1834

NPI assigned

Apr 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel L Jones, OD

Title

Owner

Phone

(252) 441-2000

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1003479510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493996",
            "telephone_number": "252-441-2000",
            "fax_number": "252-441-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493996",
            "telephone_number": "252-441-2000",
            "fax_number": "252-441-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBX OPTIX OPTOMETRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-441-2000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1407812530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Miller
• Cheryl Ann Miller
• Michael B. Morgan, D.D.S.
• Jaclyn Grace Mounie, PT
• Edna Rothman Mullally, DNP, FNP-C
• Obxmd, P.C.
• Tammy Sue Odell, MA CCC/SLP
• Outer Banks Physical Therapy, LLC
• Outer Banks Speech and Language PLLC
• Ashley Parham, DMD

• All providers in Kitty Hawk, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.