Charles V. Sikes Jr

Key facts

NPI

1184778136

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

0997 (NC)

Legal business name

CHARLES V. SIKES JR

Practice address

210 W Ivey St
Lillington, NC 27546

Phone

(910) 893-5711

Fax

(910) 893-4805

NPI assigned

Jan 23, 2007

Organization subpart

No

Authorized official

Name

Dr. Charles V. Sikes Jr., O.D. NPI 1619925724

Title

Owner

Phone

(910) 893-5711

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Van Sikes Jr., O.D. Optometrist · Sanford, NC · NPI 1619925724
  NPD (past) Authorized official OPTOMETRIST
• Robert Blunt Gotschalk, O.D. Optometrist · Sanford, NC · NPI 1811945827
  NPD (past) OPTOMETRIST
• Laura Lynn Smith, O.D. Optometrist · Lillington, NC · NPI 1265480271
  NPD (past) OPTOMETRIST

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Family Eye Care Optometry Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2008.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1184778136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "27546",
            "telephone_number": "910-893-5711",
            "fax_number": "910-893-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W IVEY ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "27546",
            "telephone_number": "910-893-5711",
            "fax_number": "910-893-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES V. SIKES JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-893-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC C. SIKES, JR.",
            "identifier": "09832",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909827",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP NUMBER",
            "identifier": "0157X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC  L. SMITH",
            "identifier": "09713",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909713",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890157X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "410000229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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