NPIMap

Organization Active NPI

North Carolina Physicians Eyecare Group, P.C.

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1003799792
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTH CAROLINA PHYSICIANS EYECARE GROUP, P.C.
Practice address
2107 Pyramid Village Blvd
Greensboro, NC 27405-5100
Phone
(877) 350-3399
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Alisha Jackson
Title
Senior Revenue Manager
Phone
(561) 208-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2107 Pyramid Village Blvd
Greensboro, NC 27405-5100

Mailing address

PO Box 744351
Atlanta, GA 30374-4351
Phone (877) 350-3399

Other names 1

  • North Carolina Physicians Eyecare Group, P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Physicians Eyecare Group PC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

2107 Pyramid Village Blvd
Greensboro, NC 27405
Phone (336) 375-1025

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1003799792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744351",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744351",
            "telephone_number": "877-350-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PYRAMID VILLAGE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055100",
            "telephone_number": "877-350-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA PHYSICIANS EYECARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "SENIOR REVENUE MANAGER",
        "authorized_official_telephone_number": "561-208-1591"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Carolina Physicians Eyecare Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.