Genesis Eye Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GENESIS EYE CENTER

Practice address

817 East Morehead Street
Suite 200
Charlotte, NC 28202-2767

Phone

(704) 295-0001

Fax

(704) 295-0002

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Galen Grayson, MD

Title

Owner

Phone

(704) 295-0001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013963719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 EAST MOREHEAD STREET",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022767",
            "telephone_number": "704-295-0001",
            "fax_number": "704-295-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 EAST MOREHEAD STREET",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022767",
            "telephone_number": "704-295-0001",
            "fax_number": "704-295-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-295-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891024Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Generational Health
• Generational Health of North Carolina
• Generations of Health Homecare LLC
• Genesis Clincal Services
• Genesis ENT & Plastic Surgery, PLLC
• Genesis Finance Corporation
• Genesis Home Health Agency
• Genesis of Carolinas Home Care, LLC
• Genesis of Carolinas Home Care, LLC
• Genesis Project 1

• Ophthalmology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ophthalmology Physician 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.