Organization Active NPI

F. Y. Eye Care Associates, Optometrists, PA

  • Corneal and Contact Management Optometrist
  • Charlotte, NC
National Provider Identifier
1366580441
Registry record updated Sep 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1797 Issued in NC
Legal business name
F. Y. EYE CARE ASSOCIATES, OPTOMETRISTS, PA
Practice address
10210 Prosperity Park Drive
Suite 200
Charlotte, NC 28269-1103
Phone
(704) 875-8787
Fax
(704) 871-7171
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2007

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

Authorized official

Name
Dr. Karen Elizabeth Jones, O.D.NPI 1295812865
Title
President
Phone
(704) 875-8787

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1797 NC Primary

Addresses

Primary practice location

10210 Prosperity Park Drive
Suite 200
Charlotte, NC 28269-1103

Mailing address

6714 Fortescue Dr
Charlotte, NC 28213-2102
Phone (704) 509-0328

Other identifiers 1

IdentifierTypeStateIssuer
5905821MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000194 NC Part B Supplier - Clinic/Group Practice 5294833836 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

10210 Prosperity Park Dr
#2
Charlotte, NC 28269
Phone (704) 875-8787

10210 Prosperity Park Dr
Ste 200
Charlotte, NC 28269
Phone (704) 875-8787

11017 Carolina Place Pkwy
Pineville, NC 28134
Phone (704) 341-7577

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188604800000",
    "number": "1366580441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 FORTESCUE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132102",
            "telephone_number": "704-509-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 PROSPERITY PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691103",
            "telephone_number": "704-875-8787",
            "fax_number": "704-871-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. Y. EYE CARE ASSOCIATES, OPTOMETRISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-09-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-875-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905821",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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