Organization Active NPI

Dr Laurie Arcolano OD and Dr William Vaughan OD PA

Doing business as Village Eye Care

  • Optometrist
  • Fayetteville, NC
National Provider Identifier
1417180209
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1314 Issued in NC
Legal business name
DR LAURIE ARCOLANO OD AND DR WILLIAM VAUGHAN OD PA
Doing business as
Village Eye Care
Practice address
3526 Village Dr
Fayetteville, NC 28304-4554
Phone
(910) 484-3030
Fax
(910) 484-1333
NPI assigned
Aug 27, 2009
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. William H Vaughan Jr., ODNPI 1588634109
Title
President
Phone
(910) 484-3030

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
Optometrist 152W00000X 1314 NC Primary

Addresses

Primary practice location

3526 Village Dr
Fayetteville, NC 28304-4554

Mailing address

2516 Fordham Dr
Fayetteville, NC 28304-3642
Phone (910) 484-3030

Other names 1

  • Village Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000634 NC Part B Supplier - Clinic/Group Practice 1355488404 Receives reassigned benefits from 2 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

3526 Village Dr
Fayetteville, NC 28304
Phone (910) 423-8600

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1417180209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 FORDHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043642",
            "telephone_number": "910-484-3030",
            "fax_number": "910-484-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044554",
            "telephone_number": "910-484-3030",
            "fax_number": "910-484-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAURIE ARCOLANO OD AND DR WILLIAM VAUGHAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-484-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.