NPIMap

Organization Active NPI

Blue Ridge Eye Care, OD, PA

  • Optometrist
  • Hendersonville, NC
National Provider Identifier
1295770980
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1897 Issued in NC
Legal business name
BLUE RIDGE EYE CARE, OD, PA
Practice address
176 Four Seasons Mall
Hendersonville, NC 28792-2878
Phone
(828) 698-3423
Fax
(828) 693-4686
NPI assigned
Jun 18, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Craig Michael Poole, ODNPI 1427008291
Title
Owner/Optometrist
Phone
(828) 698-3423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1897 NC Primary

Addresses

Primary practice location

176 Four Seasons Mall
Hendersonville, NC 28792-2878

Mailing address

176 Four Seasons Mall
Hendersonville, NC 28792-2878
Phone (828) 698-3423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1295770980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FOUR SEASONS MALL",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922878",
            "telephone_number": "828-698-3423",
            "fax_number": "828-693-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FOUR SEASONS MALL",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922878",
            "telephone_number": "828-698-3423",
            "fax_number": "828-693-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE EYE CARE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "828-698-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.