Organization Active NPI

Carolina Vision Care, LLC

Doing business as Jeffrey A Harvey

  • Optometrist
  • Kinston, NC
National Provider Identifier
1174657951
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1565 Issued in NC
Legal business name
CAROLINA VISION CARE, LLC
Doing business as
Jeffrey A Harvey
Practice address
703 Rosanne Dr
Suite B
Kinston, NC 28504-1551
Phone
(252) 527-8804
Fax
(252) 527-4379
NPI assigned
Mar 15, 2007
Last updated
May 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Jeffrey A Harvey, O.D.NPI 1528012994
Title
Doctor
Phone
(252) 527-8804

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
Optometrist 152W00000X NC1565 NC Primary

Addresses

Primary practice location

703 Rosanne Dr
Suite B
Kinston, NC 28504-1551

Mailing address

703 Rosanne Dr
Suite B
Kinston, NC 28504-1551
Phone (252) 527-8804

Other identifiers 2

IdentifierTypeStateIssuer
0121UOtherNCBCBS OTHER
890121UMedicaidNC

Other names 1

  • Jeffrey A Harvey Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000574 NC Part B Supplier - Clinic/Group Practice 4587826516 Receives reassigned benefits from 1 practitioner
Practice locations: Kinston, NC

National Provider Directory

National Provider Directory

Locations

703 Rosanne Dr
Kinston, NC 28504
Phone (252) 527-8804

703 Rosanne Dr
#B
Kinston, NC 28504
Phone (252) 527-8804

Practitioners & affiliated clinicians

Practitioners 2

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1174657951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ROSANNE DR",
            "address_2": "SUITE B",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285041551",
            "telephone_number": "252-527-8804",
            "fax_number": "252-527-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ROSANNE DR",
            "address_2": "SUITE B",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285041551",
            "telephone_number": "252-527-8804",
            "fax_number": "252-527-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "252-527-8804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OTHER",
            "identifier": "0121U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890121U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey A Harvey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.