Active NPI
Eye 1 Optical
- Customized Equipment (DME)
- Goldsboro, NC
National Provider Identifier
1164558110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 979
- Legal business name
- EYE 1 OPTICAL
- Practice address
- 1717 E Ash St
Goldsboro, NC 27530-4042 - Phone
- (919) 736-4319
- Fax
- (919) 736-4320
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Cox, OPTICIAN
- Title
- VP
- Phone
- (919) 736-4319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 979 | NC | Primary |
Addresses
Primary practice location
1717 E Ash St
Goldsboro, NC 27530-4042
Mailing address
1717 East Ash St
Goldsboro, NC 27530-4042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093980 | NC | DME Supplier - Optician | 1850501040 | Practice locations: Goldsboro, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye 1 Optical Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Clayton, NC
- NPI 1891748232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164558110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 EAST ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275304042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275304042",
"telephone_number": "919-736-4319",
"fax_number": "919-736-4320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE 1 OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "919-736-4319",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NC",
"license": "979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.