Valerie a. Colborn, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VALERIE A. COLBORN, O.D., P.A.

Practice address

1023 S. Main Street
Lillington, NC 27546-0096

Phone

(910) 893-4141

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Valerie Ann Colborn, O.D.

Title

President

Phone

(910) 893-4141

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jordan Daniel Booth, OD

  • Optometrist
  • Morrisville, NC
  • NPI 1447764188
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1235353541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "address_2": "1023 S. MAIN STREET",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460096",
            "telephone_number": "910-893-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S. MAIN STREET",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460096",
            "telephone_number": "910-893-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE A. COLBORN, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "COLBORN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-893-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0912P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890902N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Alexander Tutor, LCMHCA
• Daniel Tysz, MD
• Universal Health Care Lillington, Inc.
• Nicole Upchurch
• Madison Nichole Valentin, OTR/L
• Molly L. Vanduser, LPCS, NCC
• Scottie Jeffery Vanhook, MSW
• Patricia Ann Vanhuylenbrouck, COTA
• Jacques Maurice Villien, DO
• Madhuri V Vithala, MD

• Optometrist in Lillington, NC
• Providers in Lillington, 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 16, 2008; 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.