Vision Park Optometry, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION PARK OPTOMETRY, P.A.

Practice address

8311 Bandford Way
Suite 105
Raleigh, NC 27615-2756

Phone

(919) 870-1880

Fax

(919) 847-4509

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ann Groomer Moore, O.D.NPI 1861463960

Title

Optometrist/ Corporate President

Phone

(919) 870-1880

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ann Groomer Moore, O.D.

  • Optometrist
  • Raleigh, NC
  • NPI 1861463960
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1104922210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-870-1880",
            "fax_number": "919-847-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-870-1880",
            "fax_number": "919-847-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PARK OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "GROOMER",
        "authorized_official_title_or_position": "OPTOMETRIST/ CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "919-870-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410033568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Visions of Hope, Inc.
• Visionworks Inc (Visionworks)

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.