Active NPI
Morganton Eye Physicians, P.a.
- Ophthalmology Physician
- Burnsville, NC
National Provider Identifier
1366632473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MORGANTON EYE PHYSICIANS, P.A.
- Practice address
- 419 E Main St
Burnsville, NC 28714-3050 - Phone
- (828) 682-2104
- NPI assigned
- Jul 26, 2007
- Last updated
- Feb 12, 2009
- 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
- Dennis W Lee
- Title
- Business Manager
- Phone
- (828) 433-1000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Optician | 156FX1800X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
419 E Main St
Burnsville, NC 28714-3050
Mailing address
335 E Parker Rd
Morganton, NC 28655-5112
Phone (828) 433-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950605 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301000467 | NC | Part B Supplier - Clinic/Group Practice | 7810882818 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Forest City, NC; Marion, NC; Morganton, NC; Shelby, NC |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Rutherford College, NC
- NPI 1073646865
O20040301000467
-
- Ophthalmology Physician
- Forest City, NC
- NPI 1255464244
O20040301000467
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1366632473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E PARKER RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555112",
"telephone_number": "828-433-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 E MAIN ST",
"city": "BURNSVILLE",
"state": "NC",
"postal_code": "287143050",
"telephone_number": "828-682-2104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGANTON EYE PHYSICIANS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "828-433-1000"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950605",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, NC
- Louis Rolland Michalove, RPH
- Nalda Rives Mills, LPC-A
- Mission Hospitals Inc (Yancey County EMS)
- Philip Keith Mitchell, M.D.
- Doan Thuc Minh Moore, D.O.
- Mountain Community Health Partnership Incorporated (MCHP Therapy Services)
- Mountain Community Health Partnership Incorporated (Cane River School Based Health Center)
- Mountain Community Health Partnership Incorporated (East Yancey School Based Health Center)
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated (Micaville Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.