Active NPI
William R Easterling Optometrist PA
- Optometrist
- Goldsboro, NC
National Provider Identifier
1083884951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0887
- Legal business name
- WILLIAM R EASTERLING OPTOMETRIST PA
- Practice address
- 201 W Ash Street
Ste 7
Goldsboro, NC 27530-3665 - Phone
- (919) 735-0613
- Fax
- (919) 735-0183
- NPI assigned
- Mar 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Ross Easterling, OD
- Title
- Owner
- Phone
- (919) 735-0613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0887 | NC | Primary |
Addresses
Primary practice location
201 W Ash Street
Ste 7
Goldsboro, NC 27530-3665
Mailing address
201 W Ash Street
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
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 W Ash St
Goldsboro, NC 27530
Phone (919) 735-0613
201 W Ash St
Ste 7
Goldsboro, NC 27530
Phone (919) 735-0613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Goldsboro, NC
- NPI 1083607824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1083884951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W ASH STREET",
"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 STREET",
"address_2": "STE 7",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303665",
"telephone_number": "919-735-0613",
"fax_number": "919-735-0183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM R EASTERLING OPTOMETRIST PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "EASTERLING",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-735-0613",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.