Organization Active NPI

Winesett Optometric Eye Care, PLLC

  • Optometrist
  • Hudson, NC
National Provider Identifier
1275713646
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1302 Issued in NC
Legal business name
WINESETT OPTOMETRIC EYE CARE, PLLC
Practice address
3398 Hickory Blvd
Hudson, NC 28638-9024
Phone
(828) 396-1919
Fax
(828) 396-7014
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Marvin Alan Winesett, O.D.
Title
President
Phone
(828) 396-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1302 NC Primary

Addresses

Primary practice location

3398 Hickory Blvd
Hudson, NC 28638-9024

Mailing address

3398 Hickory Blvd
Hudson, NC 28638-9024
Phone (828) 396-1919

Other identifiers 1

IdentifierTypeStateIssuer
7909554MedicaidNC

National Provider Directory

National Provider Directory

Locations

3398 Hickory Blvd
Hudson, NC 28638
Phone (828) 396-1919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1275713646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 HICKORY BLVD",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286389024",
            "telephone_number": "828-396-1919",
            "fax_number": "828-396-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 HICKORY BLVD",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286389024",
            "telephone_number": "828-396-1919",
            "fax_number": "828-396-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINESETT OPTOMETRIC EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WINESETT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-396-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909554",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.