Active NPI
Southern Eye Associates, PA
- Specialist
- Raleigh, NC
National Provider Identifier
1376593533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN EYE ASSOCIATES, PA
- Practice address
- 2801 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6474 - Phone
- (919) 571-0081
- Fax
- (919) 787-3591
- NPI assigned
- May 10, 2006
- 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
- Dr. Philip L Martin
- Title
- President
- Phone
- (919) 571-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2801 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6474
Mailing address
2801 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6474
Phone (919) 571-0081
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000183820 | Other | NC | HIGHMARK BCBS |
| CL944 | Other | NC | RAILROAD MEDICARE |
| 01395 | Other | NC | BCBS CLINIC |
| 7901395 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1376593533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076474",
"telephone_number": "919-571-0081",
"fax_number": "919-787-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076474",
"telephone_number": "919-571-0081",
"fax_number": "919-787-3591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN EYE ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-571-0081",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "000183820",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CL944",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CLINIC",
"identifier": "01395",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901395",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Southeastern Residential Services of NC
- Southeastern Wake Adult Day Center
- Southeastern Wake Adult Day Center
- Southeastern Wake Adult Day Center
- Southern Dermatology, P.a.
- Southern Eye Associates, PA
- Southern Home Care Services, Inc
- Southern Home Care Services, Inc.
- Southern Medical Supply Co
- Southern Mobility and Medical, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.