Organization Active NPI

Western Carolina Eye Associates, PA

  • Ophthalmology Physician
  • Boone, NC
National Provider Identifier
1093776403
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WESTERN CAROLINA EYE ASSOCIATES, PA
Practice address
610 State Farm Rd
Suite a
Boone, NC 28607-4738
Phone
(828) 264-0042
Fax
(828) 264-8612
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathy Elizabeth Case
Title
Practice Manager
Phone
(828) 264-0042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

610 State Farm Rd
Suite a
Boone, NC 28607-4738

Mailing address

610 State Farm Rd
Suite a
Boone, NC 28607-4738
Phone (828) 264-0042

Other identifiers 8

IdentifierTypeStateIssuer
4317OtherPARTNERS MEDICARE
0291BOtherNCBCBS
890291BMedicaidNC
CE1797OtherRR MEDICARE
4401146OtherTNBLUECARE/CAID DUAL
1364673OtherUMWA
67587OtherTNBLUECARE
40013OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100326000826 NC Part B Supplier - Clinic/Group Practice 9931235157 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Boone, NC; Jefferson, NC
O20100930064144 NC DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 9931235157 Practice locations: Boone, NC

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Western Carolina Eye Associates, PA610 State Farm Rd, Boone, NC 28607-4713(828) 264-0042 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Apr 1, 1990

National Provider Directory

National Provider Directory

Locations

610 State Farm Rd
Ste A
Boone, NC 28607
Phone (828) 264-0042

3990 NC Highway 105 S
Ste 4
Sugar Mountain, NC 28604

3990 NC Highway 105 S
Sugar Mountain, NC 28604

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1093776403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074738",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074738",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-264-0042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "4317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0291B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890291B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE1797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE/CAID DUAL",
            "identifier": "4401146",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1364673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "67587",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "40013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.