NPIMap

Organization Active NPI

Beth Warren

Doing business as Community Eye Associates

  • Optometrist
  • King, NC
National Provider Identifier
1275589244
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1361/0975 Issued in NC
Legal business name
BETH WARREN
Doing business as
Community Eye Associates
Practice address
306 Kirby Rd
King, NC 27021-9493
Phone
(336) 983-4313
Fax
(336) 983-3913
NPI assigned
May 25, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Beth Leigh Warren, OD
Title
Owner/Optometrist
Phone
(336) 983-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1361/0975 NC Primary

Addresses

Primary practice location

306 Kirby Rd
King, NC 27021-9493

Mailing address

PO Box 1189
King, NC 27021-1189
Phone (336) 983-4313

Other identifiers 4

IdentifierTypeStateIssuer
0143MOtherNCBCBS
237415449OtherNCTRICARE
790143MMedicaidNC
1539870OtherNCUMWA

Other names 1

  • COMMUNITY EYE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

306 Kirby Rd
King, NC 27021
Phone (336) 983-4313

Practitioners & affiliated clinicians

Practitioners 7

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1275589244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "KING",
            "state": "NC",
            "postal_code": "270211189",
            "telephone_number": "336-983-4313",
            "fax_number": "336-983-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 KIRBY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219493",
            "telephone_number": "336-983-4313",
            "fax_number": "336-983-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "336-983-4313",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1361/0975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0143M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "237415449",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790143M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1539870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.