Tunnel Road Optometry Group

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

TUNNEL ROAD OPTOMETRY GROUP

Doing business as

Jefferson Village Eye Care

Practice address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Phone

(336) 765-5350

Fax

(336) 765-0769

NPI assigned

Apr 2, 2015

Organization subpart

Yes

Parent organization

TUNNEL ROAD OPTOMETRY GROUPAs reported in NPPES

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

Authorized official

Name

Roger G Davis, O.D.

Title

President

Phone

(336) 909-0061

Specialties & licenses 1

Addresses

Other names 1

• JEFFERSON VILLAGE EYE CARE Doing business as

Part of

Tunnel Road Optometry Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tunnel Road Optometry Group

  dba Advanced Eye Care

  • Corneal and Contact Management Optometrist
  • Greensboro, NC
  • NPI 1386866762
  NPPES parent name

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1154716421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HIGHWOODS BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102048"
        },
        {
            "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",
            "fax_number": "336-765-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNNEL ROAD OPTOMETRY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUNNEL ROAD OPTOMETRY GROUP",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-909-0061",
        "authorized_official_credential": "O.D."
    },
    "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": [
        {
            "organization_name": "JEFFERSON VILLAGE EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott L Tucker, MD
• David John Tudhope, PT, DPT
• Cherry Cooper Tull
• Allison Griffin Tullos, PHARMD
• Katherine A Tully, PT
• Tunnel Road Optometry Group OD PA (Davis Eye Kernersville)
• Megan Wheeler Tunnell, PHARMD
• James Haney Tunstall IV
• Christopher John Tuohy, MD
• Jovan Turnage

• 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 Apr 2, 2015; 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.