Active NPI
Blair Stone, OD
- Optometrist
- Knightdale, NC
National Provider Identifier
1184649204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2020
- Practice address
- 1001 Wide Waters Pkwy
Knightdale, NC 27545-7333 - Phone
- (919) 861-2020
- Fax
- (919) 277-0854
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2020 | NC | Primary |
Addresses
Primary practice location
1001 Wide Waters Pkwy
Knightdale, NC 27545-7333
Mailing address
7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone (919) 847-0187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093U7 | Other | NC | BLUECROSS |
| 5904664 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Greensboro, NC
- NPI 1528400223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1184649204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156430",
"telephone_number": "919-847-0187",
"fax_number": "919-863-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WIDE WATERS PKWY",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457333",
"telephone_number": "919-861-2020",
"fax_number": "919-277-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "BLAIR",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "093U7",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904664",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.