Statesville Vision Center OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1996 Issued in NC

Legal business name

STATESVILLE VISION CENTER OD, PA

Practice address

542 Brookdale Dr
Statesville, NC 28677-4108

Phone

(704) 878-8700

Fax

(704) 878-0448

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Heather Hill Day, O.D.

Title

President

Phone

(704) 878-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1033396684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6207",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286876207",
            "telephone_number": "704-878-8700",
            "fax_number": "704-878-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774108",
            "telephone_number": "704-878-8700",
            "fax_number": "704-878-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESVILLE VISION CENTER OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-878-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Statesville Hma Physician Management Inc (Statesville Orthopedics and Sports Medicine)
• Statesville Hma Physician Management, Inc (Statesville Internal Medicine)
• Statesville Hma, LLC (Davis Regional Med Center CRNA)
• Statesville Medical Management Services, LLC
• Statesville Primary Care PLLC
• Thomas Bruce Steadman Sr., MSW, LCSW
• Timothy Robert Stebbins Jr., PHARMD
• Donna Kelley Steele, ED.D., CCC-SLP
• Veronica Stein
• Stephen P Rosser MD PA

• Optometrist in Statesville, NC
• Providers in Statesville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.