Tei- Davidson OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TEI- DAVIDSON OD

Doing business as

The Eye Institute OD, PA

Practice address

610 Jetton St Ste 140
Davidson, NC 28036-0029

Phone

(704) 997-8199

NPI assigned

Apr 27, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EYE INSTITUTE OD, PAAs reported in NPPES

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

Authorized official

Name

Maria Guevara

Title

Billing Manager

Phone

(919) 397-4333

Specialties & licenses 1

Addresses

Other names 1

• The Eye Institute OD, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Eye Institute OD

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eye Institute OD

  dba The Eye Institute OD

  • Optometrist
  • Raleigh, NC
  • NPI 1093226383
  NPPES parent name

Practitioners 3

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.

• Kendra Jo Hatfield, OD

  • Optometrist
  • Davidson, NC
  • NPI 1841502150
  Medicare reassignment NPD
• Timothy J Poirier, O.D.

  • Optometrist
  • Knightdale, NC
  • NPI 1053420638
  Medicare reassignment NPD
• Adam Joseph Palo, O.D.

  • Optometrist
  • Raleigh, NC
  • NPI 1396014486
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1194413146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MCKNIGHT DR STE 100",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457764",
            "telephone_number": "919-266-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JETTON ST STE 140",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360029",
            "telephone_number": "704-997-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEI- DAVIDSON OD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EYE INSTITUTE OD, PA",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "919-397-4333"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Institute OD, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Institute OD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stone Institute of the Carolinas LLC
• Suburban Pediatric Clinic, Inc. (Suburban Pediatric Clinic - Davidson)
• Amy Kathleen Conn Suggs, CCC-SLP
• Nancy B. Tarte, MD
• Heather Taylor Griffith, L.C.S.W.
• Nilima Pareshkumar Thakkar, MD
• The Charlotte-Mecklenburg Hospital Authority (Ardsley Internal Medicine-Renaissance Square)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Women's Care Northeast OB/GYN)
• The Namaste Network
• The Pines at Davidson, Inc.

• Optometrist in Davidson, NC
• Providers in Davidson, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.