NPIMap

Organization Active NPI

Bartlett Grigsby Boan & Assoc PLLC

Doing business as Peak Eye Care

  • Optometrist
  • Statesville, NC
National Provider Identifier
1265485791
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1039 Issued in NC
Legal business name
BARTLETT GRIGSBY BOAN & ASSOC PLLC
Doing business as
Peak Eye Care
Practice address
843 N Center St
Statesville, NC 28677
Phone
(704) 878-2660
Fax
(704) 878-2636
NPI assigned
May 18, 2006
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Dr. Rick D Bartlett, ODNPI 1669472106
Title
Partner
Phone
(704) 878-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1039 NC Primary

Addresses

Primary practice location

843 N Center St
Statesville, NC 28677

Mailing address

843 N Center St
Statesville, NC 28677-3222
Phone (704) 878-2660

Other identifiers 1

IdentifierTypeStateIssuer
890280TMedicaidNC

Other names 1

  • Peak Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

843 N Center St
Statesville, NC 28677
Phone (704) 878-2660

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1265485791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-878-2660",
            "fax_number": "704-878-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-878-2660",
            "fax_number": "704-878-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT GRIGSBY BOAN & ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-878-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890280T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.