Organization Active NPI

Envolve Optical Inc

  • Medical Specialty Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1396252680
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ENVOLVE OPTICAL INC
Practice address
112 Zebulon CT
Rocky Mount, NC 27804-2420
Phone
(252) 544-9296
NPI assigned
Jan 8, 2018
Organization subpart
Yes
Parent organization
ENVOLVE VISION BENEFITS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
David LavelyNPI 1699777870
Title
President & Ceo
Phone
(252) 544-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

112 Zebulon CT
Rocky Mount, NC 27804-2420

Mailing address

112 Zebulon CT
Rocky Mount, NC 27804-2420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1396252680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ZEBULON CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ZEBULON CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "252-544-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVOLVE OPTICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVOLVE VISION BENEFITS INC",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "252-544-9251"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.