Organization Active NPI

Morganton Eye Physicians, P.a.

  • Ophthalmology Physician
  • Burnsville, NC
National Provider Identifier
1366632473
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5950605MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.