Organization Active NPI

Kevin J Guilfoyle Optician

  • Eyewear Supplier
  • New Bern, NC
National Provider Identifier
1114198363
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
NC1475 Issued in NC
Legal business name
KEVIN J GUILFOYLE OPTICIAN
Practice address
2061 S Glenburnie Rd.
New Bern, NC 28562
Phone
(252) 634-1966
Fax
(252) 634-1971
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Kevin John Guilfoyle, OPTICIANNPI 1386768190
Title
Owner
Phone
(252) 634-1966

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NC1475 NC Primary

Addresses

Primary practice location

2061 S Glenburnie Rd.
New Bern, NC 28562

Mailing address

2061 S Glenburnie Rd.
New Bern, NC 28562
Phone (252) 634-1966

National Provider Directory

National Provider Directory

Locations

2061 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 634-1966

Practitioners & affiliated clinicians

Practitioners 1

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1114198363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 S GLENBURNIE RD.",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28562",
            "telephone_number": "252-634-1966",
            "fax_number": "252-634-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 S GLENBURNIE RD.",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28562",
            "telephone_number": "252-634-1966",
            "fax_number": "252-634-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J GUILFOYLE OPTICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "GUILFOYLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-634-1966",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "NC1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.