Preston Optometry Center, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1466 Issued in NC

Legal business name

PRESTON OPTOMETRY CENTER, PA

Practice address

258 Towne Village Dr
Cary, NC 27513-8910

Phone

(919) 467-4657

Fax

(919) 462-0199

NPI assigned

Feb 19, 2010

Last updated

Mar 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Alan Rousselo, O.D.NPI 1578530879

Title

Owner

Phone

(919) 467-4657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Alan Rousselo, OD PC

  • Optometrist
  • Cary, NC
  • NPI 1578530879
  Medicare reassignment Authorized official
• Gary Lee Draper, DC

  • Chiropractor
  • Cornelius, NC
  • NPI 1265708028
  NPD (past)
• Leanna Rae Lemaster, DC

  • Chiropractor
  • Mooresville, NC
  • NPI 1245508308
  NPD (past)
• Jason B Minsky, D.C.

  • Chiropractor
  • Monroe, NC
  • NPI 1972673283
  NPD (past)
• Jeffrey Brian Roistacher, DC

  • Chiropractor
  • Raleigh, NC
  • NPI 1124055934
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1134441066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910",
            "telephone_number": "919-467-4657",
            "fax_number": "919-462-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910",
            "telephone_number": "919-467-4657",
            "fax_number": "919-462-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON OPTOMETRY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "ROUSSELO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-467-4657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Medical Supply LLC
• Marcia Prenger
• Bradford Roy Pressley, D.D.S
• Preston Dermatology & Skin Surgery Center PA
• Preston Medical Associates PA
• Stephanie Preve, PTA
• Donna L Price
• Jordayn Nicole Price
• Stephanie Serwaah Price, DO
• Tiffany Brooke Price

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.