Organization Active NPI

Eye Pros, Inc

  • Eyewear Supplier
  • Charlotte, NC
National Provider Identifier
1174646533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
289 Issued in NC
Legal business name
EYE PROS, INC
Practice address
4400 Sharon Rd
Level 4 Belk
Charlotte, NC 28211-3531
Phone
(704) 362-0098
Fax
(704) 362-0098
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Michael Stone, LICENSED OPTICIAN
Title
Owner
Phone
(704) 362-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 289 NC Primary

Addresses

Primary practice location

4400 Sharon Rd
Level 4 Belk
Charlotte, NC 28211-3531

Mailing address

4400 Sharon Rd
Level 4 Belk
Charlotte, NC 28211-3531
Phone (704) 362-0098

Other identifiers 1

IdentifierTypeStateIssuer
8802068MedicaidNC

Other names 1

  • Eye Pros Vision Care Doing business as

National Provider Directory

National Provider Directory

Locations

4400 Sharon Rd
#4
Charlotte, NC 28211
Phone (704) 362-0098

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174646533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SHARON RD",
            "address_2": "LEVEL 4 BELK",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113531",
            "telephone_number": "704-362-0098",
            "fax_number": "704-362-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SHARON RD",
            "address_2": "LEVEL 4 BELK",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113531",
            "telephone_number": "704-362-0098",
            "fax_number": "704-362-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PROS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-362-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Pros Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.