Organization Active NPI

C & S Optometric Services PLLC

Doing business as Pamlico Family Eye Care

  • Eyewear Supplier
  • Alliance, NC
National Provider Identifier
1184766644
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
C & S OPTOMETRIC SERVICES PLLC
Doing business as
Pamlico Family Eye Care
Practice address
13820 Hwy 55 E
Alliance, NC 28509-0219
Phone
(252) 745-4100
Fax
(252) 745-3909
NPI assigned
Feb 13, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Shawn A Doty, ODNPI 1578604245
Title
Managing Co-Owner
Phone
(252) 745-4100

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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

13820 Hwy 55 E
Alliance, NC 28509-0219

Mailing address

PO Box 219
Alliance, NC 28509-0219
Phone (252) 745-4100

Other identifiers 3

IdentifierTypeStateIssuer
0203COtherNCBCBS
890203CMedicaidNC
Y1890OtherNCBLIND COMMISSION

Other names 1

  • PAMLICO FAMILY EYE CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1184766644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "ALLIANCE",
            "state": "NC",
            "postal_code": "285090219",
            "telephone_number": "252-745-4100",
            "fax_number": "252-745-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 HWY 55 E",
            "city": "ALLIANCE",
            "state": "NC",
            "postal_code": "285090219",
            "telephone_number": "252-745-4100",
            "fax_number": "252-745-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & S OPTOMETRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING CO-OWNER",
        "authorized_official_telephone_number": "252-745-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0203C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890203C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLIND COMMISSION",
            "identifier": "Y1890",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAMLICO FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alliance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.