NPIMap

Organization Active NPI

C & S Optometric Services, PLLC

Doing business as New Bern Family Eye Care

  • Optometrist
  • New Bern, NC
National Provider Identifier
1336280544
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
C & S OPTOMETRIC SERVICES, PLLC
Doing business as
New Bern Family Eye Care
Practice address
2805 Village Way
New Bern, NC 28562-7351
Phone
(252) 633-0016
Fax
(252) 636-3895
NPI assigned
Feb 9, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Shawn A Doty, O.D.NPI 1578604245
Title
Managing Co-Owner
Phone
(252) 633-0016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2805 Village Way
New Bern, NC 28562-7351

Mailing address

2805 Village Way
New Bern, NC 28562-7351
Phone (252) 633-0016

Other identifiers 2

IdentifierTypeStateIssuer
0125BOtherNCBCBS
890125BMedicaidNC

Other names 1

  • NEW BERN FAMILY EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000165 NC Part B Supplier - Clinic/Group Practice 1153363254 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: New Bern, NC; Trent Woods, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
C S Optometric Services PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2805 Village Way
Trent Woods, NC 28562
Phone (252) 633-0016

Practitioners & affiliated clinicians

Practitioners 7

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1336280544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & S OPTOMETRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING CO-OWNER",
        "authorized_official_telephone_number": "252-633-0016",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0125B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890125B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW BERN FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.