Organization Active NPI

Bartlett Grigsby Boan & Assoc PLLC

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1013960517
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1417 Issued in NC
Legal business name
BARTLETT GRIGSBY BOAN & ASSOC PLLC
Doing business as
Peak Eye Care
Practice address
2120 Statesville Blvd
Salisbury, NC 28147
Phone
(704) 636-0559
Fax
(704) 636-6627
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Dr. Rick D Bartlett, O.D.
Title
Partner
Phone
(704) 878-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1417 NC Primary

Addresses

Primary practice location

2120 Statesville Blvd
Salisbury, NC 28147

Mailing address

2120 Statesville Blvd
Salisbury, NC 28147-1410
Phone (704) 636-0559

Other identifiers 1

IdentifierTypeStateIssuer
890289MMedicaidNC

Other names 1

  • Peak Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (828) 328-3900

1128 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (704) 328-3900

2141 Statesville Blvd
Salisbury, NC 28147
Phone (704) 636-0559

2120 Statesville Blvd
Salisbury, NC 28147
Phone (704) 636-0059

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1013960517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471410",
            "telephone_number": "704-636-0559",
            "fax_number": "704-636-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28147",
            "telephone_number": "704-636-0559",
            "fax_number": "704-636-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT GRIGSBY BOAN & ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-878-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890289M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.