NPIMap

Organization Active NPI

New Century Ophthalmology, PC

  • Ophthalmology Physician
  • Oxford, NC
National Provider Identifier
1285644500
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NC200000836 NC Primary

Addresses

Primary practice location

1610 Williamsboro St
Oxford, NC 27565-5016

Mailing address

PO Box 914
Oxford, NC 27565-0914
Phone (919) 693-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100408000260 NC Part B Supplier - Clinic/Group Practice 2365578960 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Oxford, NC; Raleigh, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
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.

Locations

1610 Williamsboro St
#A
Oxford, NC 27565
Phone (919) 693-6661

7901 Acc Blvd
Raleigh, NC 27617

Practitioners & affiliated clinicians

Practitioners 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • 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.