Academy Eye Center Optometry, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1464 Issued in NC

Legal business name

ACADEMY EYE CENTER OPTOMETRY, PA

Practice address

108 W Main St
Biscoe, NC 27209-9526

Phone

(910) 428-4900

Fax

(910) 428-4909

NPI assigned

May 2, 2007

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danford Raynor, OD

Title

President

Phone

(336) 460-0499

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• David R Daughtry Jr., OD

  • Optometrist
  • Lexington, NC
  • NPI 1003102633
  NPD (past)
• Ray Allen Hager Jr., O.D.

  • Optometrist
  • Siler City, NC
  • NPI 1770558728
  NPD (past)
• James S Pope, O.D.

  • Optometrist
  • Thomasville, NC
  • NPI 1295733426
  NPD (past)
• Dennis M. Garcia, O.D.

  • Optometrist
  • Tampa, FL
  • NPI 1235366931
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1396966602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RANDOLPH ST STE 32",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605759",
            "telephone_number": "336-495-3019",
            "fax_number": "336-495-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272099526",
            "telephone_number": "910-428-4900",
            "fax_number": "910-428-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY EYE CENTER OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "DANFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-460-0499",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP-B",
            "identifier": "011KT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES MEDICARE PART B DME",
            "identifier": "085351000",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011KT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucarys Albares
• Breon Allen, LPA
• Jolena B Allred, FNP
• Alexis R Anthony, PA
• Autumn Care of Biscoe, LLC (Autumn Care of Biscoe)

• Optometrist in Biscoe, NC
• Providers in Biscoe, 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 7, 2011; 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.