Eyedeals Optometry, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1312 Issued in NC

Legal business name

EYEDEALS OPTOMETRY, PA

Practice address

69 Glen Rd
Garner, NC 27529-7943

Phone

(919) 779-1500

Fax

(919) 779-5015

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Black, O.D.NPI 1528017399

Title

Owner

Phone

(919) 779-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard L Black, OD

  • Optometrist
  • Garner, NC
  • NPI 1528017399
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013032739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GLEN RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297943",
            "telephone_number": "919-779-1500",
            "fax_number": "919-779-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GLEN RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297943",
            "telephone_number": "919-779-1500",
            "fax_number": "919-779-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEALS OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-779-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528017399",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018HV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Kate Evans, RBT
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• Christopher W Faircloth, LMBT
• Mindy Smathers Faircloth, MA, CCC-SLP

• Optometrist in Garner, NC
• Providers in Garner, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.