Active NPI
Eyecarecenter OD PA
- Optometrist
- Winston Salem, NC
National Provider Identifier
1356621155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARECENTER OD PA
- Practice address
- 500 W 4TH St
Winston Salem, NC 27101-2782 - Phone
- (636) 200-4393
- Fax
- (336) 837-0781
- NPI assigned
- Aug 24, 2011
- 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
- Dr. Alison Bailey, OD
- Title
- Authorized Official
- Phone
- (636) 200-4393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC | Primary |
Addresses
Primary practice location
500 W 4TH St
Winston Salem, NC 27101-2782
Mailing address
PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918843 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Other NPIs on the same Medicare enrollment 40
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4107 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Wilmington, NC
- NPI 1548654551
-
- Optometrist
- Winston Salem, NC
- NPI 1245669969
-
- Optometrist
- Winston Salem, NC
- NPI 1932957354
-
- Optometrist
- Kernersville, NC
- NPI 1033732649
-
- Optometrist
- Winston Salem, NC
- NPI 1336182823
-
- Optometrist
- Madison, NC
- NPI 1285986927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1356621155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207261",
"city": "DALLAS",
"state": "TX",
"postal_code": "753207261",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 4TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012782",
"telephone_number": "636-200-4393",
"fax_number": "336-837-0781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARECENTER OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "636-200-4393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918843",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.