Organization Active NPI

Doctors Vision Center OD PA

  • Optometrist
  • Asheville, NC
National Provider Identifier
1437193125
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOCTORS VISION CENTER OD PA
Practice address
3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586
Phone
(828) 681-5959
Fax
(828) 681-5960
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Tina M Burgess
Title
Credentialing Specialist
Phone
(252) 442-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586

Mailing address

3 Walden Ridge Dr
Suite 100
Asheville, NC 28803-8586
Phone (828) 681-5959

Other identifiers 2

IdentifierTypeStateIssuer
5903903MedicaidNC
018GYOtherNCBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1437193125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038586",
            "telephone_number": "828-681-5959",
            "fax_number": "828-681-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038586",
            "telephone_number": "828-681-5959",
            "fax_number": "828-681-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS VISION CENTER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "252-442-0802"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903903",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "018GY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.