Eye Care Associates OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE ASSOCIATES OD PA

Practice address

178N Wakelon St
Zebulon, NC 27597-2403

Phone

(919) 269-6032

Fax

(919) 269-0984

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Bolick, OD

Title

Ceo

Phone

(919) 847-0187

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1285692111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SIX FORKS RD",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156156",
            "telephone_number": "919-847-0187",
            "fax_number": "919-676-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178N WAKELON ST",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972403",
            "telephone_number": "919-269-6032",
            "fax_number": "919-269-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-847-0187",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0231L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890231L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowered Citizens
• Empowerment Supports LLC
• Andrew Michael Errett
• Essential Home Care
• Et Care Inc
• Zandi Kafue Fennell, PA-C
• William Gerald Ferrell Jr., DMD
• Kenneth Duane Foerman, MSW, LCSW-A, LCAS-A
• Jennifer Nicole Foster, NP
• Fountain Counseling, PLLC

• All providers in Zebulon, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.