NPIMap

Organization Active NPI

Rockingham Eye Associates PA

  • Ophthalmology Physician
  • Eden, NC
National Provider Identifier
1023066040
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26004 Issued in NC
Legal business name
ROCKINGHAM EYE ASSOCIATES PA
Practice address
515 Thompson St
Suite a
Eden, NC 27288-5068
Phone
(336) 627-5271
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Carroll F Haines Jr., MDNPI 1306833538
Title
President
Phone
(336) 627-5271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 26004 NC Primary

Addresses

Primary practice location

515 Thompson St
Suite a
Eden, NC 27288-5068

Mailing address

515 Thompson Street
Suite a
Eden, NC 27288-5068
Phone (336) 627-5271

Other identifiers 2

IdentifierTypeStateIssuer
890258BMedicaidNC
0258BOtherNCBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1023066040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 THOMPSON STREET",
            "address_2": "SUITE A",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885068",
            "telephone_number": "336-627-5271",
            "fax_number": "336-623-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 THOMPSON ST",
            "address_2": "SUITE A",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885068",
            "telephone_number": "336-627-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-627-5271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "26004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890258B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0258B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.