NPIMap

Organization Active NPI

Jackson Eye Associates

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1356649362
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JACKSON EYE ASSOCIATES
Practice address
3001 Calvary Dr
Raleigh, NC 27604-2801
Phone
(919) 874-0154
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Cheri Beth Clabby
Title
Office MGR
Phone
(910) 793-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3001 Calvary Dr
Raleigh, NC 27604-2801

Mailing address

5135 Carolina Beach Rd
Wilmington, NC 28412-2516
Phone (910) 793-1157

National Provider Directory

National Provider Directory
Tax ID family
Jackson Eye Associates OD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5135 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 791-6223

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1356649362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122516",
            "telephone_number": "910-793-1157",
            "fax_number": "910-793-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CALVARY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042801",
            "telephone_number": "919-874-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "CLABBY",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "910-793-1157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.