David Lauren Fitzgerald OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAVID LAUREN FITZGERALD OD PA

Doing business as

Eye Care Center

Practice address

1100 W 15TH St
Washington, NC 27889-3564

Phone

(252) 975-8040

Fax

(252) 975-0772

NPI assigned

May 31, 2006

Last updated

Jun 27, 2008By 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

Dr. David L Fitzgerald, OD

Title

President

Phone

(252) 756-4204

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Care Center Doing business as

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1245287432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893564",
            "telephone_number": "252-975-8040",
            "fax_number": "252-975-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893564",
            "telephone_number": "252-975-8040",
            "fax_number": "252-975-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LAUREN FITZGERALD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-756-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "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": "BCBSNC GROUP NUMBER",
            "identifier": "0194W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890194W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet R Cutler, FNP
• William Paul Daly, DC
• Makeisha Dance, PHARMD
• Zoe Davenport, LCMHCA
• Nicole M Davia, PA-C
• David R Swarner MD PA
• Brenda C. Davis, LCSW
• Brooklyn Summer Davis
• Destiny S Davis
• George Edward Davis, MD

• Optometrist in Washington, NC
• Providers in Washington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.