Warren Eye Care Optometry PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WARREN EYE CARE OPTOMETRY PA

Practice address

601 W Broad St
Dunn, NC 28334-4859

Phone

(910) 892-7197

Fax

(910) 892-6507

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Hubert H Warren Jr.

Title

President

Phone

(910) 892-7197

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Russell Alan Warren, OD

  • Optometrist
  • Dunn, NC
  • NPI 1699769752
  Medicare reassignment NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1124012380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-7197",
            "fax_number": "910-892-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344859",
            "telephone_number": "910-892-7197",
            "fax_number": "910-892-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN EYE CARE OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-892-7197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "013UM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013UM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreens Pharmacy
• Walk by Faith Adult Health & Day Care LLC
• Shanley Walker
• Temeka Wallace, P.A.
• Bruce Arnold Ward, PA-C
• Hubert Holman Warren Jr., OD
• Michelle Christina Warren, MD, MSPH
• Russell Alan Warren, OD
• Austin Zane Watkins, PHARMD
• Melissa Watts, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.