Organization Active NPI

New Vision Eyecare OD PA

Doing business as Triangle Eye Institute

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1023341088
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
191279 Issued in NC
Legal business name
NEW VISION EYECARE OD PA
Doing business as
Triangle Eye Institute
Practice address
3214 Charles B Root Wynd
Suite 155
Raleigh, NC 27612-5440
Phone
(919) 881-0900
Fax
(919) 341-5273
NPI assigned
Sep 9, 2009
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Sanjay Patel, O.D.
Title
Co-Owner
Phone
(919) 272-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 191279 NC Primary

Addresses

Primary practice location

3214 Charles B Root Wynd
Suite 155
Raleigh, NC 27612-5440

Mailing address

3214 Charles B Root Wynd
Suite 155
Raleigh, NC 27612-5440
Phone (919) 881-0900

Other identifiers 1

IdentifierTypeStateIssuer
022PUOtherNCBLUE CROSS & BLUE SHIELD

Other names 1

  • Triangle Eye Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Vision Eye Care OD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3214 Charles B Root Wynd
Ste 155
Raleigh, NC 27612
Phone (919) 781-7740

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1023341088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 155",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-881-0900",
            "fax_number": "919-881-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 155",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-881-0900",
            "fax_number": "919-341-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION EYECARE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-272-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "191279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "022PU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.