NPIMap

Organization Active NPI

Haywood Family Eye Care OD PLLC

  • Optometrist
  • Waynesville, NC
National Provider Identifier
1194137588
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2292 Issued in NC
Legal business name
HAYWOOD FAMILY EYE CARE OD PLLC
Practice address
1604 Sulphur Springs Rd
Waynesville, NC 28786-4117
Phone
(828) 456-8361
Fax
(828) 452-4527
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Dr. Elyn Aimee McBride, O.D.NPI 1932457827
Title
Optometrist
Phone
(828) 456-8361

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2292 NC Primary

Addresses

Primary practice location

1604 Sulphur Springs Rd
Waynesville, NC 28786-4117

Mailing address

1604 Sulphur Springs Rd
Waynesville, NC 28786-4117
Phone (828) 456-8361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150204002430 NC Part B Supplier - Clinic/Group Practice 7517282064 Receives reassigned benefits from 5 practitioners
Practice locations: Waynesville, NC

National Provider Directory

National Provider Directory

Locations

1604 Sulphur Springs Rd
Waynesville, NC 28786
Phone (828) 456-8361

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1194137588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SULPHUR SPRINGS RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864117",
            "telephone_number": "828-456-8361",
            "fax_number": "828-452-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SULPHUR SPRINGS RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864117",
            "telephone_number": "828-456-8361",
            "fax_number": "828-452-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD FAMILY EYE CARE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ELYN",
        "authorized_official_middle_name": "AIMEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "828-456-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.