Organization Active NPI

Adler Eye Associates, O.D., P.a.

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1063538668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0808 Issued in NC
Legal business name
ADLER EYE ASSOCIATES, O.D., P.A.
Practice address
861 Willow Dr
Chapel Hill, NC 27514-7076
Phone
(919) 992-9711
NPI assigned
Mar 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
Marilyn Wycoff
Title
Office Manager
Phone
(919) 929-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0808 NC Primary

Addresses

Primary practice location

861 Willow Dr
Chapel Hill, NC 27514-7076

Mailing address

861 Willow Dr
Chapel Hill, NC 27514-7076
Phone (919) 992-9711

Other identifiers 3

IdentifierTypeStateIssuer
8909012MedicaidNC
790915NMedicaidNC
890902HMedicaidNC

National Provider Directory

National Provider Directory

Locations

861 Willow Dr
Chapel Hill, NC 27514
Phone (919) 929-7111

861 Willow Dr
Ste 2
Chapel Hill, NC 27514
Phone (919) 929-7111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063538668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 WILLOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147076",
            "telephone_number": "919-992-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 WILLOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147076",
            "telephone_number": "919-992-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADLER EYE ASSOCIATES, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYCOFF",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-929-7111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909012",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790915N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890902H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, 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.