Organization Active NPI

Tarboro Clinic Optical

  • Optometrist
  • Tarboro, NC
National Provider Identifier
1174737886
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1077 Issued in NC
Legal business name
TARBORO CLINIC OPTICAL
Practice address
2807 N Main St
Tarboro, NC 27886-1903
Phone
(252) 823-8295
NPI assigned
May 10, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Ms. Janet Webb
Title
Business Office Manager
Phone
(252) 823-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1077 NC Primary

Addresses

Primary practice location

2807 N Main St
Tarboro, NC 27886-1903

Mailing address

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

National Provider Directory

National Provider Directory

Locations

2807 N Main St
Tarboro, NC 27886
Phone (252) 823-8295

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1174737886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLINIC DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861935",
            "telephone_number": "252-823-2105",
            "fax_number": "252-823-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861903",
            "telephone_number": "252-823-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO CLINIC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "252-823-2219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.