Active NPI
Eyedeals Optometry, PA
- Optometrist
- Raleigh, NC
National Provider Identifier
1396860029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1312
- Legal business name
- EYEDEALS OPTOMETRY, PA
- Practice address
- 6085 Capital Blvd
Raleigh, NC 27616-2941 - Phone
- (919) 877-9300
- Fax
- (919) 877-9335
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard L Black, O.D.
- Title
- Owner
- Phone
- (919) 877-9300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1312 | NC | Primary |
Addresses
Primary practice location
6085 Capital Blvd
Raleigh, NC 27616-2941
Mailing address
6085 Capital Blvd
Raleigh, NC 27616-2941
Phone (919) 877-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015GZ | Other | NC | BCBS LOCATION # |
| 1528017399 | Other | NC | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Eyedeals Optometry PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Raleigh, NC
- NPI 1558539585
Locations
6085 Capital Blvd
Raleigh, NC 27616
Phone (919) 877-9300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Garner, NC
- NPI 1528017399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396860029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6085 CAPITAL BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162941",
"telephone_number": "919-877-9300",
"fax_number": "919-877-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6085 CAPITAL BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162941",
"telephone_number": "919-877-9300",
"fax_number": "919-877-9335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEDEALS OPTOMETRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-877-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "NC1312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LOCATION #",
"identifier": "015GZ",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1528017399",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.