Organization Active NPI

Dennis Garcia, O.D., P.L.L.C.

Doing business as Advanced Optometry Center

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1205270659
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2153 Issued in NC
Legal business name
DENNIS GARCIA, O.D., P.L.L.C.
Doing business as
Advanced Optometry Center
Practice address
13251 Falls of Neuse Rd
Suite 121
Raleigh, NC 27614-8572
Phone
(919) 562-4220
NPI assigned
Apr 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dennis Garcia, OD
Title
Owner
Phone
(919) 562-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2153 NC Primary

Addresses

Primary practice location

13251 Falls of Neuse Rd
Suite 121
Raleigh, NC 27614-8572

Mailing address

13251 Falls of Neuse Rd
Suite 121
Raleigh, NC 27614-8572
Phone (919) 562-4220

Other identifiers 1

IdentifierTypeStateIssuer
5912724MedicaidNC

Other names 1

  • Advanced Optometry Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1205270659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 FALLS OF NEUSE RD",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148572",
            "telephone_number": "919-562-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 FALLS OF NEUSE RD",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148572",
            "telephone_number": "919-562-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS GARCIA, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-562-4220",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912724",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.