Sanford Optometric OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SANFORD OPTOMETRIC OD PA

Practice address

1829 Doctors Drive
Sanford, NC 27330-5067

Phone

(919) 776-2032

Fax

(919) 775-2179

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Bryan Marshall, O.D.

Title

President

Phone

(919) 776-2032

Specialties & licenses 2

Addresses

Other names 1

• Carolina Vision Associates Doing business as

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1386830701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DOCTORS DRIVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-776-2032",
            "fax_number": "919-775-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 DOCTORS DRIVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-776-2032",
            "fax_number": "919-775-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD OPTOMETRIC OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-776-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1551",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Emergency Group LLC
• Sanford Health and Rehabilitation Co LLC
• Sanford Manor, LLC
• Sanford Medical Group, P.a.
• Sanford Nephrology Clinic PA
• Sanford Pediatrics, P.a.
• Sanford Pharmacy LLC
• Sanford Psychiatric Group, PA
• Sanford Sandhills Emergency Physicians, P.C.
• Sanford Senior Living, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.