Active NPI
Terence Michael Warren, OD
- Optometrist
- Dobson, NC
National Provider Identifier
1427016831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1136
- Practice address
- 220 S Main St
Dobson, NC 27017-8428 - Phone
- (336) 386-8526
- Fax
- (336) 386-4180
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1136 | NC | Primary |
Addresses
Primary practice location
220 S Main St
Dobson, NC 27017-8428
Mailing address
220 S Main St
Dobson, NC 27017-8428
Phone (336) 386-8526
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2209140 | Other | NC | UHC |
| 8909953 | Medicaid | NC | |
| T64975 | Other | NC | PRIMARY PHYSICIAN CARE |
| 2208598 | Other | NC | UHC MEDICARE COMPLETE |
| 09953 | Other | NC | BCBS |
| 19903 | Other | NC | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136 | NC | MD | Clinical Psychologist |
Interoperability endpoints
- twarren@direct.eyecare-partners.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Dobson, NC
- NPI 1710131685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1427016831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S MAIN ST",
"city": "DOBSON",
"state": "NC",
"postal_code": "270178428",
"telephone_number": "336-386-8526",
"fax_number": "336-386-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S MAIN ST",
"city": "DOBSON",
"state": "NC",
"postal_code": "270178428",
"telephone_number": "336-386-8526",
"fax_number": "336-386-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "TERENCE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2209140",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909953",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY PHYSICIAN CARE",
"identifier": "T64975",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICARE COMPLETE",
"identifier": "2208598",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09953",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "19903",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dobson, NC
- Alexander Manson Waite, DO
- Kelley Campbell Waite, FNP
- Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Family Medicine - Dobson)
- Walgreen Co (Walgreens #16123)
- Jessica Walker, MS CCC SLP
- Frances Ann Waters, LCMHCA
- Sarah Welch, MS, RD, LDN
- Tiffany Lourdes Whitt
- Janice R Wilmoth, PHD,PSYD,LCAS,CCS
- Laura Lee Wilson, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.