NPIMap

Organization Active NPI

White Eye Associates PA

  • Ophthalmology Physician
  • Greenville, NC
National Provider Identifier
1366557803
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHITE EYE ASSOCIATES PA
Practice address
301 Bowman Gray Dr
Greenville, NC 27834-7204
Phone
(252) 758-5800
Fax
(252) 758-3226
NPI assigned
Aug 21, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Ms. Vicky Smith Yakim
Title
Office Manager
Phone
(252) 758-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

301 Bowman Gray Dr
Greenville, NC 27834-7204

Mailing address

301 Bowman Gray Dr
Greenville, NC 27834-7204
Phone (252) 758-5800

Other identifiers 2

IdentifierTypeStateIssuer
7902931MedicaidNC
02931OtherBCBS OF NORTH CAROLINA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000334 NC Part B Supplier - Clinic/Group Practice 3173557964 Receives reassigned benefits from 10 practitioners
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

301 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 758-5800

Practitioners & affiliated clinicians

Practitioners 12

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1366557803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347204",
            "telephone_number": "252-758-5800",
            "fax_number": "252-758-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347204",
            "telephone_number": "252-758-5800",
            "fax_number": "252-758-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "YAKIM",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-758-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902931",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "02931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.