Active NPI
Elite Family Eye Care, OD, PLLC
- Optometrist
- Hickory, NC
National Provider Identifier
1124361100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2206
- Legal business name
- ELITE FAMILY EYE CARE, OD, PLLC
- Practice address
- 2339 US Highway 70 SE
Hickory, NC 28602-8300 - Phone
- (919) 608-2579
- NPI assigned
- Mar 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yupheng Ly, O.D.
- Title
- Owner/Optometrist
- Phone
- (919) 608-2579
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2206 | NC | Primary |
Addresses
Primary practice location
2339 US Highway 70 SE
Hickory, NC 28602-8300
Mailing address
2339 US Highway 70 SE
Hickory, NC 28602-8300
Other names 1
- Elite Family Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2340 15th Ave SE
Ste 101
Hickory, NC 28602
Phone (828) 569-1037
2339 US Highway 70 SE
Hickory, NC 28602
Phone (828) 569-1037
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hickory, NC
- NPI 1417265976
-
- Optometrist
- Concord, NC
- NPI 1083922306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364428800000",
"number": "1124361100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2339 US HIGHWAY 70 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 US HIGHWAY 70 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028300",
"telephone_number": "919-608-2579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE FAMILY EYE CARE, OD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A",
"authorized_official_last_name": "LY",
"authorized_official_first_name": "YUPHENG",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "919-608-2579",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "2206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Family Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.