Washington Eye Clinic, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18081 Issued in NC

Legal business name

WASHINGTON EYE CLINIC, P.A.

Practice address

639 W 15TH St
Washington, NC 27889-3526

Phone

(252) 946-2171

Fax

(252) 946-5986

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Jewell

Title

Office Manager

Phone

(252) 946-2171

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1285665448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893526",
            "telephone_number": "252-946-2171",
            "fax_number": "252-946-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893526",
            "telephone_number": "252-946-2171",
            "fax_number": "252-946-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-946-2171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1057",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "18081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "02876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "230152",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Carnell Walker III, D.D.S.
• Suzanne Floreece Walker, MA, LPC, LCAS
• Mona Walton
• Washington Chiropractic Group, PC
• Washington Eye Clinic Optical
• Washington Montessori Inc
• Washington Occupational Therapy LLC
• Washington Pathology Associates PA
• Washington Pediatrics
• Washington Pediatrics

• Ophthalmology Physician in Washington, NC
• Providers in Washington, 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 Dec 23, 2009; 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.