Organization Active NPI

Carolina Pediatric Eye Specialists, PLLC

  • Eyewear Supplier
  • Concord, NC
National Provider Identifier
1427124643
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
9701485 Issued in NC
Legal business name
CAROLINA PEDIATRIC EYE SPECIALISTS, PLLC
Practice address
1025 Vinehaven Dr
Concord, NC 28025-2439
Phone
(704) 795-5588
Fax
(704) 795-5591
NPI assigned
Nov 28, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Buhilda McGriff, MDNPI 1295839918
Title
Owner
Phone
(704) 795-5588

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
Eyewear Supplier 332H00000X 9701485 NC Primary

Addresses

Primary practice location

1025 Vinehaven Dr
Concord, NC 28025-2439

Mailing address

1025 Vinehaven Dr
Concord, NC 28025-2439
Phone (704) 795-5588

Other identifiers 1

IdentifierTypeStateIssuer
8911296MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1427124643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VINEHAVEN DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-795-5588",
            "fax_number": "704-795-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VINEHAVEN DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-795-5588",
            "fax_number": "704-795-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PEDIATRIC EYE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "MCGRIFF",
        "authorized_official_first_name": "BUHILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-795-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "9701485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.