Cardinal Eye Care OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

CARDINAL EYE CARE OD

Practice address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Phone

(336) 765-5350

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. George Nathan Butterworth, OD

Title

President

Phone

(434) 429-5868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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

• James Kent Doub, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1811947567

  NC

  Medicare reassignment Care Compare group NPD
• G. Nathan Butterworth, OD

  • Corneal and Contact Management Optometrist
  • Martinsville, VA
  • NPI 1114928934

  Corneal and Contact Management, NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1124683313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LOTUS CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239840",
            "telephone_number": "434-429-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL EYE CARE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-429-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Caracciolo, MSW, LCSWA
• John Patrick Card, MD
• Pedro Eduardo Cardama, MD
• Karol Lissette Cardenas Montalvo, MD
• Gilda Cardenosa, M.D.
• Cardinal Health Services, PC
• Care Focus MCM
• Care Metrics Group LLC
• Care One Home Care Specialists
• Robynn Jean Careccia, OTRL

• Corneal and Contact Management Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.