Active NPI
C & S Optometric Services PLLC
- Optometrist
- Alliance, NC
National Provider Identifier
1164563938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- C & S OPTOMETRIC SERVICES PLLC
- Practice address
- 13820 Hwy 55 E.
Alliance, NC 28509 - Phone
- (252) 745-4100
- Fax
- (252) 745-3909
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- New Bern, NC
- NPI 1124023221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050531000324 | NC | Part B Supplier - Clinic/Group Practice | 1153363254 |
Receives reassigned benefits from 6 practitioners Practice locations: Alliance, NC |
National Provider Directory
National Provider Directory- Tax ID family
- C S Optometric Services PLLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- New Bern, NC
- NPI 1316631302
-
- Optometrist
- New Bern, NC
- NPI 1619661600
-
- Optometrist
- New Bern, NC
- NPI 1336280544
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn A Doty, O.D.
- Title
- Managing Co-Owner
- Phone
- (252) 745-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
13820 Hwy 55 E.
Alliance, NC 28509
Mailing address
PO Box 219
Alliance, NC 28509-0219
Phone (252) 745-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203C | Other | NC | BCBS |
| 890203C | Medicaid | NC |
Other names 1
- PAMLICO FAMILY EYE CARE
NPI Registry JSON
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1164563938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "ALLIANCE",
"state": "NC",
"postal_code": "285090219",
"telephone_number": "252-745-4100",
"fax_number": "252-745-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13820 HWY 55 E.",
"city": "ALLIANCE",
"state": "NC",
"postal_code": "28509",
"telephone_number": "252-745-4100",
"fax_number": "252-745-3909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & S OPTOMETRIC SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "DOTY",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING CO-OWNER",
"authorized_official_telephone_number": "252-745-4100",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0203C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890203C",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PAMLICO FAMILY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alliance, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.