Active NPI
Tradewinds Optometric Group, PLLC
- Optometrist
- Mooresville, NC
National Provider Identifier
1124449178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2195
- Legal business name
- TRADEWINDS OPTOMETRIC GROUP, PLLC
- Practice address
- 594 River Hwy
Mooresville, NC 28117-6829 - Phone
- (352) 642-4542
- NPI assigned
- Dec 18, 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. Kendra J Hatfield, OD
- Title
- Physician
- Phone
- (352) 642-4542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2195 | NC | Primary |
Addresses
Primary practice location
594 River Hwy
Mooresville, NC 28117-6829
Mailing address
594 River Hwy
Mooresville, NC 28117-6829
National Provider Directory
National Provider DirectoryLocations
610 Jetton St
Ste 140
Davidson, NC 28036
Phone (352) 642-4542
594 River Hwy
Mooresville, NC 28117
Phone (704) 662-3909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1124449178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 RIVER HWY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 RIVER HWY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176829",
"telephone_number": "352-642-4542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRADEWINDS OPTOMETRIC GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "HATFIELD",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "352-642-4542",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "2195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.