Morganton Eye Physicians, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MORGANTON EYE PHYSICIANS, P.A.

Practice address

831 Malcolm Blvd
Rutherford College, NC 28671

Phone

(828) 874-1000

Fax

(828) 874-4142

NPI assigned

Mar 13, 2007

Last updated

Jul 17, 2009By 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

Dennis W Lee

Title

Business Manager, Meppa

Phone

(828) 433-1000

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Forest City, NC
  • NPI 1255464244

  O20040301000467

  Same enrollment
• Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Burnsville, NC
  • NPI 1366632473

  O20040301000467

  Same enrollment
• Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Morganton, NC
  • NPI 1588678817

  O20040301000467

  Same enrollment
• Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Shelby, NC
  • NPI 1730212739

  O20040301000467

  Same enrollment
• Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Marion, NC
  • NPI 1831222637

  O20040301000467

  Same enrollment

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1073646865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555112",
            "telephone_number": "828-433-1000",
            "fax_number": "828-433-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MALCOLM BLVD",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "28671",
            "telephone_number": "828-874-1000",
            "fax_number": "828-874-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTON EYE PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS MANAGER, MEPPA",
        "authorized_official_telephone_number": "828-433-1000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902226",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "02226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie S. Young, MD, PHD, PA
• John H Sherrill
• Hemen Joshi, M.D.
• David Joseph Mazaleski, LCAS
• Christopher McDonald, M.D.
• Morganton Eye Physicians, P.a.
• Gowri Devi Sathiraju, MD
• Sarvesh Rao Sathiraju, M.D.
• Michael Skolochenko, MD
• Nickolas Sprinkle, PHARMD

• Ophthalmology Physician in Rutherford College, NC
• Providers in Rutherford College, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.