Red I Optical, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0911 Issued in NC

Legal business name

RED I OPTICAL, INC

Practice address

1607 Westover Terrace
Greensboro, NC 27408

Phone

(336) 272-5252

Fax

(336) 282-1957

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Byrnes, O.D.

Title

President

Phone

(336) 272-5252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Charlie Byrnes Doing business as

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1013104249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081996",
            "telephone_number": "336-272-5252",
            "fax_number": "336-272-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WESTOVER TERRACE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-272-5252",
            "fax_number": "336-282-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED I OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-272-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Charlie Byrnes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Greensboro, NC
• Providers in Greensboro, 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 13, 2014; 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.