Parkside Eye Care, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PARKSIDE EYE CARE, OD, PLLC

Practice address

7250 O'Kelly Chapel Road
Ste 200
Cary, NC 27519

Phone

(919) 883-9987

Fax

(919) 887-6381

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Adriadn Ortega, MHA

Title

Manager

Phone

(919) 883-9987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Wang Chen, OD

  • Optometrist
  • Cary, NC
  • NPI 1679191589
  Medicare reassignment Care Compare group NPD
• Monica Ma, O.D.

  • Optometrist
  • Cary, NC
  • NPI 1134400690
  Medicare reassignment Care Compare group NPD
• Jonathan Reynon, O.D.

  • Optometrist
  • Cary, NC
  • NPI 1215210802
  Medicare reassignment Care Compare group NPD
• Misa Sueyoshi, OD

  • Optometrist
  • Cary, NC
  • NPI 1679359905
  Medicare reassignment Care Compare group NPD
• Danielle Yamamoto, OD

  • Optometrist
  • Greenville, NC
  • NPI 1700621059
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1376903559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 O'KELLY CHAPEL ROAD",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "919-883-9987",
            "fax_number": "919-887-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 O'KELLY CHAPEL ROAD",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "919-883-9987",
            "fax_number": "919-887-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE EYE CARE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "ADRIADN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-883-9987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Parker
• Olivia Alexis Parker
• Shirley Parker
• Chad Wiliiam Parkes, MD
• Jalissa Parks
• Parkway Health Management, Inc
• Parkway Sleep Medical Service PLLC
• Parkway Sleep Medical Services, PLLC
• Shefali Vaibhav Parmar, MD
• Caroline Kay Paroby, AU.D.

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.