NPIMap

Organization Active NPI

Wake Forest Family Eye Care, O.D., P.a.

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1295916732
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1145 Issued in NC
Legal business name
WAKE FOREST FAMILY EYE CARE, O.D., P.A.
Practice address
110 Capcom Ave
Suite 100
Wake Forest, NC 27587-6531
Phone
(919) 556-1909
Fax
(919) 556-6765
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mr. Douglas Kevin Bell, O.D.
Title
President
Phone
(919) 556-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1145 NC Primary

Addresses

Primary practice location

110 Capcom Ave
Suite 100
Wake Forest, NC 27587-6531

Mailing address

110 Capcom Ave
Suite 100
Wake Forest, NC 27587-6531
Phone (919) 556-1909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1295916732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAPCOM AVE",
            "address_2": "SUITE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876531",
            "telephone_number": "919-556-1909",
            "fax_number": "919-556-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAPCOM AVE",
            "address_2": "SUITE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876531",
            "telephone_number": "919-556-1909",
            "fax_number": "919-556-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST FAMILY EYE CARE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-556-1909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.