Southeastern Ocularists, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHEASTERN OCULARISTS, INC.

Practice address

8426 Medical Plaza Dr
Suite 500
Charlotte, NC 28262-9746

Phone

(704) 510-9292

Fax

(704) 510-9881

NPI assigned

Jan 28, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert HenderliteNPI 1881619633

Title

President

Phone

(704) 510-9292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Southeastern Ocularists Inc2 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.

• Southeastern Ocularists, Inc.

  • Customized Equipment (DME)
  • Mount Pleasant, SC
  • NPI 1841213196
  NPD tax ID

Locations

Practitioners 3

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.

• Robert L Henderlite

  • Ocularist
  • Charlotte, NC
  • NPI 1881619633
  NPD Authorized official
• Armon S Alcocer Akhlaghi, B.C.O.

  • Ocularist
  • Charlotte, NC
  • NPI 1073460465
  NPD (past)
• Joshua Lee Hrdlick, BCO

  • Ocularist
  • Charlotte, NC
  • NPI 1013892710
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1033396551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 MEDICAL PLAZA DR",
            "address_2": "SUITE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629746",
            "telephone_number": "704-510-9292",
            "fax_number": "704-510-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 MEDICAL PLAZA DR",
            "address_2": "SUITE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629746",
            "telephone_number": "704-510-9292",
            "fax_number": "704-510-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OCULARISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "HENDERLITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-510-9292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0376",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Radiology Associates PLLC
• Southeast Renal Associates PA
• Southeast Surgical Specialists, PLLC
• Southeast Vulvar Clinic, PLLC
• Southeastern Hearing Centers Inc (Beltone Hearing Center)
• Southeastpsych Ballantyne, PLLC
• Southend Pediatrics, PLLC
• Valerie Smith Southerland, PHARMD
• Victoria Buck Southerland, OTR
• Southern Collective Behavioral Health, PLLC

• Customized Equipment (DME) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.