NPIMap

Organization Active NPI

C & S Optometric Services PLLC

Doing business as Pamlico Family Eye Care

  • Optometrist
  • Alliance, NC
National Provider Identifier
1164563938
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
C & S OPTOMETRIC SERVICES PLLC
Doing business as
Pamlico Family Eye Care
Practice address
13820 Hwy 55 E.
Alliance, NC 28509
Phone
(252) 745-4100
Fax
(252) 745-3909
NPI assigned
Feb 12, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Shawn A Doty, O.D.NPI 1578604245
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • PAMLICO FAMILY EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000324 NC Part B Supplier - Clinic/Group Practice 1153363254 Receives reassigned benefits from 6 practitioners
Practice locations: Alliance, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
C S Optometric Services PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "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": [],
    "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.

Verify at the official NPI Registry.