Organization Active NPI

Cary Vision Care, O.D., P.a.

Doing business as Cary Vision Care

  • Optometrist
  • Cary, NC
National Provider Identifier
1336363704
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1627 Issued in NC
Legal business name
CARY VISION CARE, O.D., P.A.
Doing business as
Cary Vision Care
Practice address
1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706
Phone
(919) 467-9834
Fax
(919) 466-0045
NPI assigned
Apr 13, 2007
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Jeffrey S Stikeleather, O.D.NPI 1154321834
Title
President
Phone
(919) 467-9834

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 1627 NC Primary

Addresses

Primary practice location

1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706

Mailing address

1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706
Phone (919) 467-9834

Other names 1

  • Cary Vision Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810000860 NC Part B Supplier - Clinic/Group Practice 3577697721 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

1100 NW Maynard Rd
Cary, NC 27513

1100 NW Maynard Rd
Ste 120
Cary, NC 27513
Phone (919) 467-9834

303 S Academy St
Cary, NC 27511
Phone (919) 467-9834

Interoperability endpoints

  • Direct secure messaging: megan@caryvisioncare.eyefinitydirect.com

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1336363704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-467-9834",
            "fax_number": "919-466-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-467-9834",
            "fax_number": "919-466-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY VISION CARE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "STIKELEATHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-467-9834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cary Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.