North Carolina Correction Enterprises Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NORTH CAROLINA CORRECTION ENTERPRISES OPTICAL

Practice address

2869 US Highway 64a
Nashville, NC 27856-8765

Phone

(888) 388-1353

Fax

(252) 459-7400

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert H. Leon

Title

Correction Enterprises Director II

Phone

(919) 716-3647

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1376576777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 US HIGHWAY 64A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568765",
            "telephone_number": "888-388-1353",
            "fax_number": "252-459-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 US HIGHWAY 64A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568765",
            "telephone_number": "888-388-1353",
            "fax_number": "252-459-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CORRECTION ENTERPRISES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CORRECTION ENTERPRISES DIRECTOR II",
        "authorized_official_telephone_number": "919-716-3647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802023",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TOXONOMY CODE",
            "identifier": "332H00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Nashville, NC
• Providers in Nashville, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.