Active NPI
William Ross Easterling, OD
- Optometrist
- Goldsboro, NC
National Provider Identifier
1083607824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0887
- Practice address
- 201 W Ash St
Suite 7
Goldsboro, NC 27530-3665 - Phone
- (919) 735-0613
- Fax
- (919) 735-0183
- NPI assigned
- Aug 26, 2005
- Last updated
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 0887 | NC | Primary |
Addresses
Primary practice location
201 W Ash St
Suite 7
Goldsboro, NC 27530-3665
Mailing address
201 W Ash St
Ste 7
Goldsboro, NC 27530-3665
Phone (919) 735-0613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909251 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0887 | NC | MD | Optometrist |
Organizations & group practices 1
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
- Goldsboro, NC
- NPI 1083884951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1083607824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W ASH ST",
"address_2": "STE 7",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303665",
"telephone_number": "919-735-0613",
"fax_number": "919-735-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W ASH ST",
"address_2": "SUITE 7",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303665",
"telephone_number": "919-735-0613",
"fax_number": "919-735-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLING",
"first_name": "WILLIAM",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909251",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- East Carolina Psychiatric Consultants,PLLC
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina& Virginia, Inc
- Eastern Carolina Surgical Associates, PA
- Eastern ENT Sinus and Allergy Center, PA
- Eastern Homecare Services, Inc.
- Eastern Medical Associates
- Eastern Medical Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.