Premier Eye Institute, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC2051 Issued in NC

Legal business name

PREMIER EYE INSTITUTE, OD, PLLC

Practice address

2531 E Lyon Station Rd
Suite F
Creedmoor, NC 27522-9401

Phone

(215) 880-3817

NPI assigned

Oct 15, 2014

Last updated

Oct 5, 2015By 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

Nisha P Mehta, ODNPI 1851588172

Title

Optometrist

Phone

(215) 880-3817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Nisha Panjwani Mehta, OD

  • Optometrist
  • Creedmoor, NC
  • NPI 1851588172
  Medicare reassignment NPD Authorized official
• Amber Wiggins, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1104551746
  Medicare reassignment NPD

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1205230588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 E LYON STATION RD",
            "address_2": "STE F",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229401",
            "telephone_number": "215-880-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 E LYON STATION RD",
            "address_2": "SUITE F",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229401",
            "telephone_number": "215-880-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE INSTITUTE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-880-3817",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Pesqueira, M.D.
• Robin Peterson, NP
• Pinnacle Community Foundation
• Pinnacle Counseling Services, PLLC
• Ashley Pogue
• Private Diagnostic Clinic, PLLC (Duke Specialty Butner-Creedmoor)
• Tonya Fisher Pruitt, FNP
• Quality Faith Home Care Agency, LLC
• Tarrelle Crews Reade, PMHNP, DNP, RN
• Desiree Reed, HEALTH COACH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.