Organization Active NPI

Raleigh Ophthalmic Associates

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1023546876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RALEIGH OPHTHALMIC ASSOCIATES
Practice address
2709 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6462
Phone
(919) 782-5400
Fax
(919) 782-1680
NPI assigned
May 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Edward Clift Laski
Title
Administrator
Phone
(919) 782-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X

Addresses

Primary practice location

2709 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6462

Mailing address

2709 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6462
Phone (919) 782-5400

Other practice location 1

11618 US 70 Bus Hwy W Ste 204
Clayton, NC 27520-2276
Phone (919) 782-5400

Other practice location 2

10880 Durant Rd Ste 112
Raleigh, NC 27614-6629
Phone (919) 782-5400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023546876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-881-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-782-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11618 US 70 Bus Hwy W Ste 204",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202276",
            "country_code": "US",
            "telephone_number": "919-782-5400",
            "fax_number": "919-243-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10880 Durant Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146629",
            "country_code": "US",
            "telephone_number": "919-782-5400",
            "fax_number": "919-532-0331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALEIGH OPHTHALMIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LASKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CLIFT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-782-5400"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.