Organization Active NPI

The Eye Center, Doctors of Optometry, P.a.

  • Optometrist
  • Durham, NC
National Provider Identifier
1174564900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE EYE CENTER, DOCTORS OF OPTOMETRY, P.A.
Practice address
6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone
(919) 484-9696
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Naheed Kassam, ODNPI 1356382469
Title
Owner
Phone
(919) 484-9696

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 NC Primary

Addresses

Primary practice location

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286

Mailing address

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone (919) 484-9696

Other identifiers 2

IdentifierTypeStateIssuer
89093RHMedicaidNC
016U7OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000517 NC Part B Supplier - Clinic/Group Practice 6901883362 Receives reassigned benefits from 18 practitioners
Practice locations: Fayetteville, NC; Wilmington, NC; Raleigh, NC; Durham, NC; Cary, NC; Burlington, NC

National Provider Directory

National Provider Directory

Locations

302 Cross CRK Mall
NC 28303

927 Boston Dr
Burlington, NC 27215
Phone (336) 586-1960

927 Boston Dr
#D3
Burlington, NC 27215
Phone (336) 586-1960

1107 Walnut St
Ste 100
Cary, NC 27511
Phone (919) 460-0155

1105 Walnut St
Ste J124
Cary, NC 27511
Phone (919) 460-9074

419 Cross Creek Mall
#302
Fayetteville, NC 28303

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

103 Cross Creek Mall
Ste 302
Fayetteville, NC 28303

103 Cross Creek Mall
Ste 296
Fayetteville, NC 28303

5959 Triangle Town Blvd
Ste 2001
Raleigh, NC 27616
Phone (919) 792-2345

4325 Glenwood Ave
Ste 4001
Raleigh, NC 27612

4351 The Cir At North Hills St
Raleigh, NC 27609
Phone (919) 213-6483

4351 The Circle At North Hills St
#S107
Raleigh, NC 27609

4351 The Cir At North Hills St
Ste 107
Raleigh, NC 27609
Phone (919) 782-9091

3500 Oleander Dr
Ste B10
Wilmington, NC 28403
Phone (910) 452-3290

3500 Oleander Dr
#B10
Wilmington, NC 28403
Phone (919) 452-3290

3500 Oleander Dr
Ste R55
Wilmington, NC 28403

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174564900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CENTER, DOCTORS OF OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KASSAM",
        "authorized_official_first_name": "NAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-484-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093RH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016U7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.