Organization Active NPI

Ae Eyecare

Doing business as Towncenter Vision

  • Multi-Specialty Clinic/Center
  • Clemmons, NC
National Provider Identifier
1396569323
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AE EYECARE
Doing business as
Towncenter Vision
Practice address
6270 Towncenter Dr
Clemmons, NC 27012-9376
Phone
(336) 712-4733
NPI assigned
Nov 15, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Mr. Seth Michael Warren
Title
Billing Specialist
Phone
(336) 414-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6270 Towncenter Dr
Clemmons, NC 27012-9376

Mailing address

409 Lotus CT
Lewisville, NC 27023-9840
Phone (336) 712-4733

Other names 1

  • Towncenter Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331000175 NC Part B Supplier - Clinic/Group Practice 0042733131 Receives reassigned benefits from 2 practitioners
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1396569323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LOTUS CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239840",
            "telephone_number": "336-712-4733",
            "fax_number": "336-712-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 TOWNCENTER DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129376",
            "telephone_number": "336-712-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "336-414-8883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towncenter Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Towncenter Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.