Organization Active NPI

Alamance Eye Care, PA

  • Ophthalmology Physician
  • Chapel Hill, NC
National Provider Identifier
1346302882
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALAMANCE EYE CARE, PA
Practice address
1828 Martin Luther King Jr Blvd
Suite B14
Chapel Hill, NC 27514-7415
Phone
(919) 967-0670
Fax
(919) 942-5873
NPI assigned
Dec 14, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Steven A DingeldeinNPI 1295759330
Title
Credentialing
Phone
(336) 228-0254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1828 Martin Luther King Jr Blvd
Suite B14
Chapel Hill, NC 27514-7415

Mailing address

1016 Kirkpatrick Road
Burlington, NC 27215-9714
Phone (336) 228-0254

Other identifiers 1

IdentifierTypeStateIssuer
89012P7MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000222 NC Part B Supplier - Clinic/Group Practice 6103722699 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlington, NC; Mebane, NC

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

1828 Martin Luther King Jr Blvd
Ste B14
Chapel Hill, NC 27514
Phone (919) 967-0670

Practitioners & affiliated clinicians

Practitioners 1

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1346302882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 KIRKPATRICK ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-228-0254",
            "fax_number": "336-584-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE B14",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147415",
            "telephone_number": "919-967-0670",
            "fax_number": "919-942-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DINGELDEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "336-228-0254"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012P7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.