Active NPI
Jaroslav J. Cerny Jr., O.D.
- Optometrist
- Asheville, NC
National Provider Identifier
1053645002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0866
- Practice address
- 17 Sardis Rd
Asheville, NC 28806-8536 - Phone
- (828) 665-0603
- Fax
- (828) 665-0676
- NPI assigned
- Sep 23, 2009
- Last updated
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0866 | NC | Primary |
Addresses
Primary practice location
17 Sardis Rd
Asheville, NC 28806-8536
Mailing address
17 Sardis Road
Asheville, NC 28806-8536
Phone (828) 665-0603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0866 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siad Inc a NC Corporation | Optometrist | Past | Accepting new patients |
| Herbert Gibson III OD PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Asheville, NC
- NPI 1194270868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1053645002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SARDIS ROAD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288068536",
"telephone_number": "828-665-0603",
"fax_number": "828-665-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SARDIS RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288068536",
"telephone_number": "828-665-0603",
"fax_number": "828-665-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNY",
"first_name": "JAROSLAV",
"middle_name": "J.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.