Organization Active NPI

Village Eye Care Optometry, PLLC

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1427291053
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1434 Issued in NC
Legal business name
VILLAGE EYE CARE OPTOMETRY, PLLC
Practice address
2113 Cameron St
Ste 240
Raleigh, NC 27605-1394
Phone
(919) 828-2078
Fax
(919) 833-9835
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Dr. Christopher D Bateman, O.D.NPI 1306868484
Title
Member/Manager
Phone
(919) 828-2078

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1434 NC Primary

Addresses

Primary practice location

2113 Cameron St
Ste 240
Raleigh, NC 27605-1394

Mailing address

2113 Cameron St
Ste 240
Raleigh, NC 27605-1394
Phone (919) 828-2078

Other identifiers 1

IdentifierTypeStateIssuer
8802129MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Village Eye Care Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1427291053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 CAMERON ST",
            "address_2": "STE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051394",
            "telephone_number": "919-828-2078",
            "fax_number": "919-833-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 CAMERON ST",
            "address_2": "STE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051394",
            "telephone_number": "919-828-2078",
            "fax_number": "919-833-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EYE CARE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-828-2078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802129",
            "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 Apr 13, 2009; 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.