Organization Active NPI

Envolve Optometry Associates of North Carolina, PA

  • Optometrist
  • Rocky Mount, NC
National Provider Identifier
1295327849
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENVOLVE OPTOMETRY ASSOCIATES OF NORTH CAROLINA, PA
Practice address
1118 Falls Rd
Rocky Mount, NC 27804-4406
Phone
(252) 452-5728
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. David Michael Lavely, ODNPI 1699777870
Title
Manager
Phone
(252) 452-5728

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1118 Falls Rd
Rocky Mount, NC 27804-4406

Mailing address

1118 Falls Rd
Rocky Mount, NC 27804-4406
Phone (252) 452-5728

National Provider Directory

National Provider Directory

Locations

1118 Falls Rd
Rocky Mount, NC 27804
Phone (252) 452-5728

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1295327849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FALLS RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044406",
            "telephone_number": "252-452-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FALLS RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044406",
            "telephone_number": "252-452-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVOLVE OPTOMETRY ASSOCIATES OF NORTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-452-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.