Maxon Optometry PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MAXON OPTOMETRY PLLC

Practice address

1025 Foxtail Dr
Durham, NC 27703-4667

Phone

(760) 819-1141

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Maxon, OPTOMETRISTNPI 1053793034

Title

Ceo

Phone

(760) 819-1141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Maxon, O.D.

  • Optometrist
  • Manlius, NY
  • NPI 1053793034
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1003675240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FOXTAIL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034667",
            "telephone_number": "760-819-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FOXTAIL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034667",
            "telephone_number": "760-819-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXON OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MAXON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-819-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Marie Maus, AUD
• Georgina Mavodzi, RN
• Charles Mason Maxfield, MD
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc.
• Maxwell Rehabilitation PLLC
• Alexandra Maxwell, OTR/L
• Ann Miller Wilson Maxwell, MD
• Aonnyee Maxwell
• Ashley Maxwell, PT, DPT

• Medical Specialty Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.