Active NPI
Alamance Eye Care, PA
- Ophthalmology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven A Dingeldein
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012P7 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Burlington, NC
- NPI 1295759330
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.