Eagles Eye Diagnostic Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EAGLES EYE DIAGNOSTIC LAB

Practice address

129 E Council St
Salisbury, NC 28144-5019

Phone

(980) 701-0705

Fax

(980) 701-0706

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Tonyan W Hunter, PBTNPI 1497355036

Title

Owner

Phone

(980) 701-0705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tonyan Wilson Hunter

  • Mastectomy Fitter
  • Salisbury, NC
  • NPI 1497355036
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1104650563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E COUNCIL ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445019",
            "telephone_number": "980-701-0705",
            "fax_number": "980-701-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E COUNCIL ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445019",
            "telephone_number": "980-701-0705",
            "fax_number": "980-701-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES EYE DIAGNOSTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "TONYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-701-0705",
        "authorized_official_credential": "PBT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Dvoracek, RPH
• Kamal Dyal, MD
• Rebecca Elizabeth Dyer
• Dymond Life Healthcare PLLC
• Regina Eagle, CRC
• William Paul Earnhardt II, LCSW
• Easter Seals Ucp Norht Carolina & Virginia Inc
• Philip Anthony Eaton, MD
• Ec Opco Salisbury LP
• Eckerd Corporation

• Clinical Medical Laboratory in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.