Ahoskie Eye Care OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1332 Issued in NC

Legal business name

AHOSKIE EYE CARE OD PA

Practice address

500 Church St W
Ahoskie, NC 27910-3316

Phone

(252) 332-2020

Fax

(252) 332-8543

NPI assigned

Feb 5, 2008

Last updated

Jan 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad E Hauser, O. D.NPI 1083690218

Title

President

Phone

(252) 332-2020

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Brad E Hauser, O.D.

  • Optometrist
  • Ahoskie, NC
  • NPI 1083690218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1205014909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHURCH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103316",
            "telephone_number": "252-332-2020",
            "fax_number": "252-332-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHURCH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103316",
            "telephone_number": "252-332-2020",
            "fax_number": "252-332-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHOSKIE EYE CARE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-332-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "0905E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911883",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NC1332",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950660",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0905E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "45371",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802140",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Valley of Visions, LLC
• Accordius Health at Creekside Care, LLC (Accordius Health at Creekside Care)
• Michael Winston Adams
• Sarah Madison Adkins, OTD, OTR/L
• Ahoskie Adult Medicine Clinic, PLLC
• Ahoskie House
• Ahoskie Imaging LLC
• Ahoskie Medical Associates Inc
• Ahoskie Medical Practice, Inc
• Ahoskie NC Opco LLC (Ahoskie Health and Rehabilitation Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.