Active NPI
Siler Crossing Vision Center Optometry PA
- Optometrist
- Siler City, NC
National Provider Identifier
1235173527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1661
- Legal business name
- SILER CROSSING VISION CENTER OPTOMETRY PA
- Practice address
- 1603 E 11TH St
Siler City, NC 27344-2823 - Phone
- (919) 742-5007
- Fax
- (919) 742-4599
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ray Allen Hager Jr., OD
- Title
- Owner
- Phone
- (919) 742-5007
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1661 | NC | Primary |
Addresses
Primary practice location
1603 E 11TH St
Siler City, NC 27344-2823
Mailing address
1603 E 11TH St
Siler City, NC 27344-2823
Phone (919) 742-5007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89011KR | Medicaid | NC |
Other names 1
- Siler Crossing Vision Center Optometry PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1603 E 11th St
Siler City, NC 27344
Phone (919) 742-5007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Siler City, NC
- NPI 1770558728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1235173527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 E 11TH ST",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273442823",
"telephone_number": "919-742-5007",
"fax_number": "919-742-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 E 11TH ST",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273442823",
"telephone_number": "919-742-5007",
"fax_number": "919-742-4599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILER CROSSING VISION CENTER OPTOMETRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "HAGER",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-742-5007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "NC1661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011KR",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Siler Crossing Vision Center Optometry PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Siler City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.