NPIMap

Organization Active NPI

Patrick M. McLaren, O.D., P.a.

  • Optometrist
  • Mount Olive, NC
National Provider Identifier
1346329513
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1896 Issued in NC
Legal business name
PATRICK M. MCLAREN, O.D., P.A.
Doing business as
Doctors Vision Center
Practice address
1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone
(919) 658-0474
Fax
(919) 658-0487
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Patrick Michael McLaren, O.D.NPI 1891755625
Title
President
Phone
(919) 658-0474

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1896 NC Primary

Addresses

Primary practice location

1122 N Breazeale Ave
Mount Olive, NC 28365-1121

Mailing address

1122 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 658-0474

Other identifiers 2

IdentifierTypeStateIssuer
5901790MedicaidNC
093NNOtherNCBCBS

Other names 1

  • Doctors Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1122 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 639-2020

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1346329513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N BREAZEALE AVE",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651121",
            "telephone_number": "919-658-0474",
            "fax_number": "919-658-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N BREAZEALE AVE",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651121",
            "telephone_number": "919-658-0474",
            "fax_number": "919-658-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M. MCLAREN, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MCLAREN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-658-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901790",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093NN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Olive, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.