Fuquay Ophthalmology and Glaucoma PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FUQUAY OPHTHALMOLOGY AND GLAUCOMA PC

Practice address

605 Attain St Ste 101
Fuquay Varina, NC 27526-1972

Phone

(919) 567-3709

Fax

(919) 567-3710

NPI assigned

Sep 7, 2006

Last updated

Jun 2, 2020By 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

Kenneth W Roach, MDNPI 1780686014

Title

President

Phone

(919) 567-3709

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFEIAA

Practitioners 2

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.

• Kenneth William Roach, M.D.

  • Ophthalmology Physician
  • Fuquay Varina, NC
  • NPI 1780686014
  Medicare reassignment NPD Authorized official
• Peter Michael Rogaski, OD

  • Optometrist
  • Thomasville, NC
  • NPI 1629051693
  Medicare reassignment NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1083717516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ATTAIN ST STE 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261972",
            "telephone_number": "919-567-3709",
            "fax_number": "919-567-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ATTAIN ST STE 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261972",
            "telephone_number": "919-567-3709",
            "fax_number": "919-567-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUQUAY OPHTHALMOLOGY AND GLAUCOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-567-3709",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014WM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuquay Chiropractic and Wellness Center
• Fuquay Drug Co Inc (Elliotts Pharmacy)
• Fuquay Eye Care OD PA
• Fuquay Family Counseling, PLLC
• Fuquay Operator LLC (Fuquay-Varina Health and Rehabilitation Center)
• Fuquay Pharmacy LLC (Fuquay Pharmacy)
• Fuquay Urgent Care & Family Clinic Inc.
• Fuquay-Varina Family Practice, PA
• Fuquay-Varina Health Holdings, LLC (Senter's Rest Home)
• James P Furgurson, DDS

• Ophthalmology Physician in Fuquay Varina, NC
• Providers in Fuquay Varina, 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 Jun 2, 2020; 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.