Organization Active NPI

Mills & Salter Smithfield O.D. P.a.

  • Optometrist
  • Smithfield, NC
National Provider Identifier
1336339845
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1556 Issued in NC
Legal business name
MILLS & SALTER SMITHFIELD O.D. P.A.
Doing business as
Doctors Vision Center
Practice address
1690 Booker Dairy Rd
Smithfield, NC 27577-9405
Phone
(919) 938-6101
Fax
(919) 938-6103
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. James Derril Salter, O.D.
Title
Owner
Phone
(919) 938-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1556 NC Primary

Addresses

Primary practice location

1690 Booker Dairy Rd
Smithfield, NC 27577-9405

Mailing address

671 Christopher Dr
Clayton, NC 27520-5585
Phone (919) 359-2656

Other identifiers 4

IdentifierTypeStateIssuer
019MYOtherNCBCBS
232214OtherNCMEDICARE
2816118OtherNCUHC
8802123MedicaidNC

Other names 1

  • Doctors Vision Center Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1690 E Booker Dairy Rd
Smithfield, NC 27577
Phone (919) 938-6101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1336339845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 CHRISTOPHER DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205585",
            "telephone_number": "919-359-2656",
            "fax_number": "919-550-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779405",
            "telephone_number": "919-938-6101",
            "fax_number": "919-938-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS & SALTER SMITHFIELD O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DERRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-938-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019MY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "232214",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2816118",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.