Organization Active NPI

Carolina Eye Care on Merrimon, O.D., P.a.

  • Optometrist
  • Asheville, NC
National Provider Identifier
1225399397
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2080 Issued in NC
Legal business name
CAROLINA EYE CARE ON MERRIMON, O.D., P.A.
Practice address
825-B Merrimon Ave.
Asheville, NC 28804
Phone
(828) 236-0099
Fax
(828) 236-1236
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Lesley N. Brooks, O.D.NPI 1104098045
Title
President
Phone
(828) 236-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2080 NC Primary

Addresses

Primary practice location

825-B Merrimon Ave.
Asheville, NC 28804

Mailing address

825B Merrimon Ave.
Asheville, NC 28804
Phone (828) 236-0099

Other identifiers 1

IdentifierTypeStateIssuer
8802152MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000437 NC Part B Supplier - Clinic/Group Practice 0244488211 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1225399397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825B MERRIMON AVE.",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28804",
            "telephone_number": "828-236-0099",
            "fax_number": "828-236-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825-B MERRIMON AVE.",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28804",
            "telephone_number": "828-236-0099",
            "fax_number": "828-236-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE CARE ON MERRIMON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-236-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802152",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.