Shelby Eye Centers, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

200001408204 Issued in NC

Legal business name

SHELBY EYE CENTERS, P.A.

Practice address

1170 Wyke Rd
Shelby, NC 28150-4259

Phone

(704) 482-6767

Fax

(704) 600-6232

NPI assigned

Sep 20, 2006

Last updated

Oct 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Ellen Cline, MDNPI 1093791352

Title

Physician / Vice President

Phone

(704) 482-6767

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Shelby Eye Centers, P.A. Other name

Medicare fee-for-service enrollment

Enrolled in SC, NC3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• Nancy Ellen Cline, MD

  • Ophthalmology Physician
  • Shelby, NC
  • NPI 1093791352

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Stephen J Bogan, M.D.

  • Ophthalmology Physician
  • Shelby, NC
  • NPI 1942286018

  SC

  Medicare reassignment Care Compare group NPD
• Timothy Philip Anderson, O.D.

  • Optometrist
  • Hendersonville, NC
  • NPI 1780741959
  NPD (past)
• John Ellis Flack, O.D.

  • Optometrist
  • Morganton, NC
  • NPI 1851307953
  NPD (past)
• Ian Patrick Stamp, M.D.

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1912965583
  NPD (past)
• Andrew L Williams, OD

  • Optometrist
  • Newland, NC
  • NPI 1710072491
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1285732453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 WYKE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504259",
            "telephone_number": "704-482-6767",
            "fax_number": "704-600-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 WYKE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504259",
            "telephone_number": "704-482-6767",
            "fax_number": "704-600-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY EYE CENTERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICIAN / VICE PRESIDENT",
        "authorized_official_telephone_number": "704-482-6767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200001408204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4125",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12822",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7204125",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3976",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0267J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890267J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Eye Centers, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ophthalmology Physician in Shelby, NC
• Providers in Shelby, 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 Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.