New Century Ophthalmology, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

NC200000836 Issued in NC

Legal business name

NEW CENTURY OPHTHALMOLOGY, PC

Practice address

1610 Williamsboro St
Oxford, NC 27565-5016

Phone

(919) 693-6661

Fax

(919) 690-1160

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vinod Kumar Jindal, M.D.NPI 1861402612

Title

President

Phone

(919) 693-6661

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blue Ridge Day Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1073578019

  O20100408000260

  Same enrollment

Tax ID family

Blue Ridge Day Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Ridge Day Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1073578019
  NPD tax ID

Locations

Practitioners 5

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

• Vinod Kumar Jindal, M.D.

  • Ophthalmology Physician
  • Oxford, NC
  • NPI 1861402612
  Medicare reassignment Care Compare group NPD Authorized official
• Sumeet Jindal, M.D./M.B.A.

  • Ophthalmology Physician
  • Oxford, NC
  • NPI 1023540010

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Samantha Prabakaran, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Raleigh, NC
  • NPI 1164047122
  Medicare reassignment Care Compare group NPD
• Cameron McGlone, MD

  • Cornea and External Diseases Specialist Physician
  • Charleston, SC
  • NPI 1336728138

  NC

  Medicare reassignment
• Yewande Olateju Alonge, O.D

  • Optometrist
  • Raleigh, NC
  • NPI 1245580984
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1285644500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650914",
            "telephone_number": "919-693-6661",
            "fax_number": "919-690-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WILLIAMSBORO ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275655016",
            "telephone_number": "919-693-6661",
            "fax_number": "919-690-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-693-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "NC200000836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "278888",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMAHEALTH",
            "identifier": "OPH158",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "129K5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE PPO",
            "identifier": "296327",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "160963",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RJ REYNOLDS",
            "identifier": "7957242",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043366",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1046375",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1057205",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B2572",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129K5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Kathleen Namba, D.O., M.P.H.
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• Rafael E Negron-Medina, M.D.
• Amanda Ruby Nettles, PA-C
• New Beginnings Peer Support Services LLC
• Ashley Newton
• Noble Behavioral Healthcare Services, Inc
• North Carolina Community Homes, LLC
• North Carolina CVS Pharmacy LLC
• North Carolina Medical Transportation Inc

• Ophthalmology Physician in Oxford, NC
• Providers in Oxford, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.