Organization Active NPI

Carolina Optical Partners

Doing business as carolina optical shop sanford

  • Eyewear Supplier
  • Fayetteville, NC
National Provider Identifier
1043416597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
NOT REQUIRED IN SANF Issued in NC
Legal business name
CAROLINA OPTICAL PARTNERS
Doing business as
carolina optical shop sanford
Practice address
2047 Valleygate Dr
Fayetteville, NC 28304-3688
Phone
(910) 485-3937
NPI assigned
Jun 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah L Woodcock
Title
Secretary
Phone
(910) 485-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NOT REQUIRED IN SANF NC Primary

Addresses

Primary practice location

2047 Valleygate Dr
Fayetteville, NC 28304-3688

Mailing address

1829 Doctors Dr
Sanford, NC 27330-5067
Phone (919) 776-2032

Other identifiers 1

IdentifierTypeStateIssuer
8802093MedicaidNC

Other names 1

  • carolina optical shop sanford Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043416597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-776-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OPTICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "910-485-3937"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "NOT REQUIRED IN SANF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802093",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "carolina optical shop sanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.