Organization Active NPI

Tradewinds Optometric Group, PLLC

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1124449178
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2195 Issued in NC
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

Updated by the provider on Dec 18, 2013

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.