Bonnie E. Aiken, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1433 Issued in NC

Practice address

2120 Statesville Blvd
Eyecare Center
Salisbury, NC 28147-1410

Phone

(704) 636-0559

Fax

(704) 636-6627

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clark Optometric Center PA

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  NPD
• Hawthorne Eye Associates, P.a.

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1598729147
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1194789727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 STATESVILLE BLVD.",
            "address_2": "EYECARE CENTER",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28147",
            "telephone_number": "704-636-0559",
            "fax_number": "704-636-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 STATESVILLE BLVD",
            "address_2": "EYECARE CENTER",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471410",
            "telephone_number": "704-636-0559",
            "fax_number": "704-636-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKEN",
        "first_name": "BONNIE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPICARE",
            "identifier": "0944842",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890904K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2468501C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0912X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECOND PTAN",
            "identifier": "2472021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046981",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "296143",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abayomi Aderemi Agbebi, M.D.
• Matthew Agner, CTRS
• Tammie G Agner, SLP
• Dominic Edward Agresta, PA
• Zeeshan Naseer Ahmad, MD
• Andrea Michelle Aitken, PA-C
• Olugbenga Francis Akinwuntan
• Shekeia Arnae' Al-Amin, MSW
• Glen Albracht, R.PH., M.S.
• Jennifer Hartsell Alderman, PA-C

• All providers in Salisbury, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.