Tunnel Road Optometry Group

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

TUNNEL ROAD OPTOMETRY GROUP

Doing business as

Advanced Eye Care

Practice address

3702 W Gate City Blvd
Advanced Eye Care
Greensboro, NC 27407-4628

Phone

(336) 854-2020

Fax

(336) 852-9472

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roger G Davis, OD

Title

President

Phone

(336) 765-5350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED EYE CARE Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tunnel Road Optometry Group

  dba Jefferson Village Eye Care

  • Corneal and Contact Management Optometrist
  • Winston Salem, NC
  • NPI 1154716421
  NPPES parent name

Practitioners 2

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

• Charles D Miller, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1134104771
  NPD (past)
• Thuyvan Vo, OD

  • Optometrist
  • Winston Salem, NC
  • NPI 1982032959

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1386866762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 W GATE CITY BLVD",
            "address_2": "ADVANCED EYE CARE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074628",
            "telephone_number": "336-854-2020",
            "fax_number": "336-852-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNNEL ROAD OPTOMETRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916691",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corneal and Contact Management Optometrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.