NPIMap

Organization Active NPI

Matthew D Vizithum OD PLLC

  • Optometrist
  • Carrboro, NC
National Provider Identifier
1316103856
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1725 Issued in NC
Legal business name
MATTHEW D VIZITHUM OD PLLC
Practice address
704 W Main St
Carrboro, NC 27510-1626
Phone
(919) 618-2950
NPI assigned
Aug 4, 2008
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Matthew D Vizithum, OD
Title
Owner
Phone
(919) 929-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1725 NC Primary

Addresses

Primary practice location

704 W Main St
Carrboro, NC 27510-1626

Mailing address

PO Box 7756
Rocky Mount, NC 27804-0756

National Provider Directory

National Provider Directory

Locations

801 Pinehurst Ave
Carthage, NC 28327
Phone (910) 947-5155

410 S Judd Pkwy SE
Fuquay Varina, NC 27526
Phone (919) 577-0421

779 Woody Dr
Graham, NC 27253
Phone (336) 228-0707

2502 S NC Highway 119
Mebane, NC 27302
Phone (336) 578-4701

Practitioners & affiliated clinicians

Practitioners 2

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": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1316103856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7756",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W MAIN ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101626",
            "telephone_number": "919-618-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D VIZITHUM OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "VIZITHUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-929-7111",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.