A Proper View OD PLLC
Organization Active NPI Optometrist · Winston Salem, NC
NPI 1124526835 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1124526835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- A PROPER VIEW OD PLLC
- Practice address
- 120 Reynolda VLG Ste B
Winston Salem, NC 27106-5144 - Phone
- (336) 701-6460
- Fax
- (336) 701-6465
- NPI assigned
- Jan 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Andrew Bradbury
- Title
- Owner
- Phone
- (901) 634-4244
Practitioners 1
-
Andrew Bradbury, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180918002472 | NC | Part B Supplier - Clinic/Group Practice | 4183975907 |
Receives reassigned benefits from 1 practitioner Practice locations: Winston Salem, NC |
National Provider Directory
Locations
120 Reynolda Vlg
Ste B
Winston Salem, NC 27106
Phone (336) 701-6460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
120 Reynolda VLG Ste B
Winston Salem, NC 27106-5144
Mailing address
120 Reynolda VLG Ste B
Winston Salem, NC 27106-5144
Phone (336) 701-6460
Other providers in Winston Salem, NC
- A New Inspiration, LLC
- A New Way of Life, Inc.
- A Partnership in Health, LLC
- A Path Forward of NC, LLC.
- A Primary Choice, Inc.
- A Quality Health Care LLC
- A Quality Health Care LLC
- A Quest for Change
- A Sure House, Inc
- A Sure House, Inc.
All providers in Winston Salem, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.