Upchurch Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0612 Issued in NC

Legal business name

UPCHURCH OPTICAL

Practice address

5108 N Roxboro Rd
Durham, NC 27704-1420

Phone

(919) 477-9113

Fax

(919) 479-1797

NPI assigned

Jan 22, 2007

Last updated

Oct 9, 2007By 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

Mr. Michael Arthur Upchurch, OPTICIAN

Title

Optician Owner

Phone

(919) 477-9113

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Raymond J Legen, O.D.

  • Optometrist
  • Durham, NC
  • NPI 1154470201
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1215080114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041420",
            "telephone_number": "919-477-9113",
            "fax_number": "919-479-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041420",
            "telephone_number": "919-477-9113",
            "fax_number": "919-479-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPCHURCH OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "919-477-9113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "0612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "18443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NC061201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "41027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of North Carolina Hospitals at Chapel Hill (UNC Homecare Specialists)
• Universtiy of North Carolina at Chapel Hill (Durham Family Practice)
• Unlimited Alternatives
• Unlimited Physical Therapy & Sports Performance
• Upchurch Drug Corporation (Upchurch Drugs)
• Amanda Fountain Upchurch, ACNPC-AG
• Antoinette Denise Upchurch, MSA
• Gina Upchurch, RPH, MPH
• Jude Upchurch, COTA/L
• Mamie Elizabeth Upchurch

• Eyewear Supplier in Durham, NC
• Providers in Durham, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.