Active NPI
New Vision Eyecare OD PA
Doing business as Triangle Eye Institute
- Ophthalmology Physician
- Raleigh, NC
National Provider Identifier
1023341088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 191279
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022PU | Other | NC | BLUE CROSS & BLUE SHIELD |
Other names 1
- Triangle Eye Institute
National Provider Directory
National Provider Directory- Tax ID family
- New Vision Eye Care OD PA
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.