NPIMap

Organization Active NPI

Carolina Ophthalmology Associates

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1376594937
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA OPHTHALMOLOGY ASSOCIATES
Practice address
55 Vilcom Center Dr
Suite 140
Chapel Hill, NC 27514-1689
Phone
(919) 967-4836
Fax
(919) 967-6498
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. James Alexander Bryan III, M.D.
Title
Physician/Owner
Phone
(919) 967-4836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

55 Vilcom Center Dr
Suite 140
Chapel Hill, NC 27514-1689

Mailing address

55 Vilcom Center Dr
Suite 140
Chapel Hill, NC 27514-1689
Phone (919) 967-4836

Other identifiers 1

IdentifierTypeStateIssuer
89012CVMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1376594937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VILCOM CENTER DR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-967-4836",
            "fax_number": "919-967-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VILCOM CENTER DR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-967-4836",
            "fax_number": "919-967-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OPHTHALMOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "919-967-4836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012CV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.