Organization Active NPI

Element Eye Care, O.D., PLLC

  • Optometrist
  • Matthews, NC
National Provider Identifier
1306190137
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2103 Issued in NC
Legal business name
ELEMENT EYE CARE, O.D., PLLC
Practice address
9623 E Independence Blvd
Ste a
Matthews, NC 28105-8602
Phone
(704) 992-9410
Fax
(704) 846-6352
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Dr. Nicolette L. Zawilinski, O.D
Title
Optometrist
Phone
(704) 992-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2103 NC Primary

Addresses

Primary practice location

9623 E Independence Blvd
Ste a
Matthews, NC 28105-8602

Mailing address

9623 E Independence Blvd
Ste a
Matthews, NC 28105-8602
Phone (704) 992-9410

Other names 1

  • Element Eye Care Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1306190137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 E INDEPENDENCE BLVD",
            "address_2": "STE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058602",
            "telephone_number": "704-992-9410",
            "fax_number": "704-846-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 E INDEPENDENCE BLVD",
            "address_2": "STE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058602",
            "telephone_number": "704-992-9410",
            "fax_number": "704-846-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT EYE CARE, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "ZAWILINSKI",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-992-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Element Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.