Blue Ridge Eye Care, OD, PA

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

Organization subpart

No

Name

Dr. Craig Michael Poole, OD

Title

Owner/Optometrist

Phone

(828) 698-3423

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018AN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.